Simon Farid Mizyed in Fresno - Physician Assistant
Simon Farid Mizyed - NPI 1952301087
Simon Farid Mizyed is a Physician Assistant in Fresno, California. Simon Farid Mizyed practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Simon Farid Mizyed is 1952301087. The last update date is 2019-11-04.
Simon Farid Mizyed's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for Simon Farid Mizyed is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Simon Farid Mizyed |
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Address | 2625 E Divisadero St, Fresno, California |
Phone Number | 5594432682 |
Fax Number | 5594432681 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1952301087 |
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Provider Enumeration Date | 2005-07-29 |
Last Updated Date | 2019-11-04 |
Provider Mailing Address Detail
Address | 2625 E Divisadero St |
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City | Fresno |
State | California (CA) |
Post Code | 937211431 |
Phone Number | 5594432682 |
Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 19237 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Simon Farid Mizyed's unique identification number?
The Simon Farid Mizyed has been assigned the NPI (National Provider Identifier) Number 1952301087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Simon Farid Mizyed?
The Simon Farid Mizyed is situated at 2625 E Divisadero St, in the city of Fresno, state of CA, with the zip code 937211431.
What is Simon Farid Mizyed's specialized field of practice, and what is the corresponding taxonomy classification code?
The Simon Farid Mizyed's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952301087 to Simon Farid Mizyed?
The Centers for Medicare & Medicaid Services originally issued the 1952301087 to Simon Farid Mizyed on 2005-07-29.
When was the Simon Farid Mizyed's information last updated?
The Simon Farid Mizyed's information was last updated on 2019-11-04.