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Organization
EL CAPITAN WOUND & DIABETIC CENTER INC
Active
Organization
EL CAPITAN WOUND & DIABETIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL D FERNANDO M.D. (PRESIDENT/CEO)
(209) 384-1400
Entity
Organization
Contact information
Practice address
4747 N 1ST ST, 132, FRESNO, CA 93726-0563
(559) 493-5484
(559) 493-5751
Mailing address
4747 N 1ST ST, 132, FRESNO, CA 93726-0563
(559) 493-5484
(559) 493-5751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G64927
CA
Other
Enumeration date
06/14/2012
Last updated
07/10/2014
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