Ellison H Cordray
Emergency Medical Services
1800 No California Street
Stockton
, California 95204-0000
Ellison H Cordray
Emergency Medical Services
1800 No California Street
Stockton
, California 95204-0000
(209) 473-6544
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Ellison H Cordray
- 3116 W March Lane Suite 200
- Stockton, CA
- Zip : 95219-2370
- Fax : (209) 473-6544
- Phone : (209) 473-6555
Second Address
- Ellison H Cordray
- 1800 No California Street
- Stockton, CA
- Zip : 95204-0000
- Fax : (209) 473-6544
- Phone : (209) 473-6555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | G66464 | CA |
National Provider Identifier
| NPI | 1033204490 |
|---|---|
| Provider Name | Ellison H Cordray |
| First Address | Stockton, CA 95219-2370 |
| Second Address | Stockton, CA 95204-0000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E65620 | (02) | CA |
| G66464 | CA MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.