PETREL EMERGENCY PHYSICIANS, A MEDICAL CORPORATION - NPI 1154734663

Q: What is Petrel Emergency Physicians, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

On this page

About Petrel Emergency Physicians, A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETREL EMERGENCY PHYSICIANS, A MEDICAL CORPORATION (NPI 1154734663) is a healthcare organization registered as an emergency medicine in Marina Del Rey, California and active in the NPI registry since June 2014. The organization lists Karen Vaughn, Officer, as its authorized official.

NPPES Registry Identity

NPI1154734663

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePETREL EMERGENCY PHYSICIANS, A MEDICAL CORPORATION

Location Address4650 LINCOLN BLVDMarina Del Rey, CA 90292-6306

Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331 · (954) 838-2371 · Fax (214) 712-2444

Phone(469) 401-2386

Organization SubpartNo

Authorized OfficialKaren VaughnOfficer · (973) 251-1132

Enumeration DateJune 3, 2014

Last NPPES UpdateMarch 30, 20233 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1154734663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4650 LINCOLN BLVD, Marina Del Rey, CA 90292

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHASE KRIVASHEI PA

Physician Assistant