Edman Fuentes is a Surgical in Pleasanton, California. Edman Fuentes practices all healthcare services and medical treatments related to Surgical. The NPI Number for Edman Fuentes is 1013988955. The last update date is 2014-06-10.
Edman Fuentes's current location address is 5725 W Las Positas Blvd, Pleasanton, California. You can contact this provider via phone number 9254696274 and fax number 9259241769. The mailing address for Edman Fuentes is 5725 W Las Positas Blvd, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edman Fuentes |
|---|---|
| Address | 5725 W Las Positas Blvd, Pleasanton, California |
| Phone Number | 9254696274 |
| Fax Number | 9259241769 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1013988955 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2014-06-10 |
Provider Mailing Address Detail
| Address | 5725 W Las Positas Blvd |
|---|---|
| City | Pleasanton |
| State | California (CA) |
| Post Code | 945884054 |
| Phone Number | 9254696274 |
| Fax Number | 9259241769 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA51630 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291613400 | FL | -- | |
| PA51630 | CA | MEDICAL LICENSE | |
| PA9102297 | FL | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Edman Fuentes by the Centers for Medicare & Medicaid Services?
The Edman Fuentes has been issued the NPI (National Provider Identifier) 1013988955. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edman Fuentes is located?
The Edman Fuentes is situated at the following address: 5725 W Las Positas Blvd, Pleasanton, CA, 945884054.
What is the Edman Fuentes's specialty and taxonomy code?
The Edman Fuentes's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did Edman Fuentes receive its 1013988955 assignment from the Centers for Medicare & Medicaid Services?
The Edman Fuentes was assigned its 1013988955 on 2006-01-30, 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 Edman Fuentes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edman Fuentes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-10.