Organization · Type 2 NPI

Tahoe Emergency Physicians Medical Corporation

Emergency Medicine Physician · South Lake Tahoe, CA

NPI number 1104937408 Active

Practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

PO Box 849174
Los Angeles, CA 90084-9174

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XNone listed

Emergency Medicine Physician: 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 respo…

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About NPI 1104937408

Tahoe Emergency Physicians Medical Corporation's National Provider Identifier is 1104937408, issued on Aug 31, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jan 2, 2026.