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Organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Active
Organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Active
Parent organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Other names
University Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Authorized official
DR. KARL P VANGUNDY MD (PRESIDENT)
(559) 443-2682
Entity
Organization
Contact information
Practice address
2554 MERCED STREET, FRESNO, CA 93721
(559) 256-9660
(559) 489-0499
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
12/12/2014
Last updated
09/09/2015
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