Central California Faculty Medical Group, Inc. in Fresno - Dermatopathology
Central California Faculty Medical Group, Inc. - NPI 1205971595
Central California Faculty Medical Group, Inc. is a Dermatopathology in Fresno, California. Central California Faculty Medical Group, Inc. practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Central California Faculty Medical Group, Inc. is 1205971595. The last update date is 2015-02-27.
Central California Faculty Medical Group, Inc.'s current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594535200 and fax number 5594432681. The mailing address for Central California Faculty Medical Group, Inc. is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Central California Faculty Medical Group, Inc. |
---|---|
Address | 2625 E Divisadero St, Fresno, California |
Phone Number | 5594535200 |
Fax Number | 5594432681 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Van Gundy P Karl |
Credentials | M.D, |
Telephone Number | 5594432682 |
NPI Number Detail
NPI Number | 1205971595 |
---|---|
Provider Enumeration Date | 2007-02-21 |
Last Updated Date | 2015-02-27 |
Provider Mailing Address Detail
Address | 2625 E Divisadero St |
---|---|
City | Fresno |
State | California (CA) |
Post Code | 937211431 |
Phone Number | 5594535200 |
Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
Speciality | Dermatopathology |
---|---|
Taxonomy | 207Nd0900X |
Definition: A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GR0077242 | CA | -- | |
GR0077240 | CA | -- | |
GR0077243 | CA | -- | |
GR0014819 | CA | -- | |
GR0014812 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Central California Faculty Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Central California Faculty Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1205971595, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Central California Faculty Medical Group, Inc. located?
The Central California Faculty Medical Group, Inc. is located at 2625 E Divisadero St, Fresno, CA 937211431.
What is the Central California Faculty Medical Group, Inc.'s area of specialization and corresponding taxonomy classification?
The Central California Faculty Medical Group, Inc.'s specialty field is Dermatopathology, and it falls under the taxonomy code 207Nd0900X, which categorizes healthcare providers based on their specialties.
When did the Central California Faculty Medical Group, Inc. receive its 1205971595?
The Central California Faculty Medical Group, Inc. was issued its 1205971595 on 2007-02-21, which is the date when the organization was assigned this unique identifier.
When was the information related to Central California Faculty Medical Group, Inc. most recently updated or refreshed?
The details pertaining to the Central California Faculty Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2015-02-27.
NPI Number: 1649274606
Address: 2600 Miller St, Bethany, MO
NPI Number: 1275531295
Address: 2703 Hall St, Hays, KS