Central California Faculty Medical Group, Inc. in Fresno - Procedural Dermatology
Central California Faculty Medical Group, Inc. - NPI 1205971595
Central California Faculty Medical Group, Inc. is a Procedural Dermatology in Fresno, California. Central California Faculty Medical Group, Inc. practices all healthcare services and medical treatments related to Procedural Dermatology. 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 | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
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 Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, 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.
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