Ea Health Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EA HEALTH CORPORATION

Practice address

12230 World Trade Dr Ste 250
San Diego, CA 92128-3799

Phone

(858) 759-4765

Fax

(858) 509-9866

NPI assigned

Aug 19, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Arthur L. Gruen, MD

Title

Ceo

Phone

(858) 759-4765

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1952734428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 WORLD TRADE DR STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283799",
            "telephone_number": "858-759-4765",
            "fax_number": "858-509-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 WORLD TRADE DR STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283799",
            "telephone_number": "858-759-4765",
            "fax_number": "858-509-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-759-4765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Dzieciol
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• Alisha Eachus

• Emergency Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.