Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 001115054 | IL |
NPI | 1083371983 |
---|---|
Provider Name | Dr. James Scott George |
First Address | Santa Monica, CA 90403-4388 |
Second Address | Santa Monica, CA 90403-4388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2021 |
Last Update Date | 26/11/2021 |