Elvis M Fedalizo in Ceres - Family Medicine
Elvis M Fedalizo - NPI 1366491292
Elvis M Fedalizo is a Family Medicine in Ceres, California. Elvis M Fedalizo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Elvis M Fedalizo is 1366491292. The last update date is 2010-06-11.
Elvis M Fedalizo's current location address is 2516 E Whitmore Ave, Ceres, California. You can contact this provider via phone number 2095381733. The mailing address for Elvis M Fedalizo is 2516 E Whitmore Ave, Ceres, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elvis M Fedalizo |
|---|---|
| Address | 2516 E Whitmore Ave, Ceres, California |
| Phone Number | 2095381733 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366491292 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2010-06-11 |
Provider Mailing Address Detail
| Address | 2516 E Whitmore Ave |
|---|---|
| City | Ceres |
| State | California (CA) |
| Post Code | 953072645 |
| Phone Number | 2095381733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A50432 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A504320 | CA | -- |
Post Comment/ Review Below
What is the Elvis M Fedalizo's unique identification number?
The Elvis M Fedalizo has been assigned the NPI (National Provider Identifier) Number 1366491292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Elvis M Fedalizo is physically located?
The Elvis M Fedalizo is physically situated at the following address: 2516 E Whitmore Ave, Ceres, CA, 953072645.
What is Elvis M Fedalizo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elvis M Fedalizo's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366491292 to Elvis M Fedalizo?
The Centers for Medicare & Medicaid Services originally issued the 1366491292 to Elvis M Fedalizo on 2006-05-08.
When was the information related to Elvis M Fedalizo most recently updated or refreshed?
The details pertaining to the Elvis M Fedalizo, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-11.
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