Provider Demographics
NPI:1720670268
Name:TELE911 NORCAL MEDICAL GROUP INC
Entity Type:Organization
Organization Name:TELE911 NORCAL MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-399-7524
Mailing Address - Street 1:155 N LAKE AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1857
Mailing Address - Country:US
Mailing Address - Phone:254-835-3911
Mailing Address - Fax:
Practice Address - Street 1:155 N LAKE AVE STE 800
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1857
Practice Address - Country:US
Practice Address - Phone:254-835-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty