Central California Faculty Medical Group, Inc. in Fresno - Adolescent Medicine
Central California Faculty Medical Group, Inc. - NPI 1992742852
Central California Faculty Medical Group, Inc. is a Adolescent Medicine in Fresno, California. Central California Faculty Medical Group, Inc. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Central California Faculty Medical Group, Inc. is 1992742852. 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 | MD |
| Telephone Number | 5594432682 |
NPI Number Detail
| NPI Number | 1992742852 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| 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 | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRE001360 | CA | -- | |
| GR0077244 | CA | -- | |
| GPS000540 | CA | -- | |
| GR0077241 | CA | -- | |
| ZZZ83317Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Central California Faculty Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Central California Faculty Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1992742852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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 Central California Faculty Medical Group, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Central California Faculty Medical Group, Inc.'s specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
On what date did Central California Faculty Medical Group, Inc. receive its 1992742852 assignment from the Centers for Medicare & Medicaid Services?
The Central California Faculty Medical Group, Inc. was assigned its 1992742852 on 2006-06-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Central California Faculty Medical Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central California Faculty Medical Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-27.
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