Provider Demographics
NPI:1558556233
Name:EMERGENCY AND ACUTE CARE MEDICAL COMPANY ARIZONA
Entity Type:Organization
Organization Name:EMERGENCY AND ACUTE CARE MEDICAL COMPANY ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRUEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-759-4765
Mailing Address - Street 1:440 STEVENS AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2058
Mailing Address - Country:US
Mailing Address - Phone:858-759-4765
Mailing Address - Fax:858-759-8194
Practice Address - Street 1:440 STEVENS AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2058
Practice Address - Country:US
Practice Address - Phone:858-759-4765
Practice Address - Fax:858-759-8194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty