Provider Demographics
NPI:1780122085
Name:EMERGENT CARE OBGYN ASSOCIATES INC
Entity type:Organization
Organization Name:EMERGENT CARE OBGYN ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BASIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-424-8422
Mailing Address - Street 1:3711 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3315
Mailing Address - Country:US
Mailing Address - Phone:855-376-2496
Mailing Address - Fax:562-424-8770
Practice Address - Street 1:3711 LONG BEACH BLVD
Practice Address - Street 2:STE 700
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3315
Practice Address - Country:US
Practice Address - Phone:562-424-8422
Practice Address - Fax:562-424-8770
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE WOMEN CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty