# PALM MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225178809
- **Authorized official:** SU ROSENTHAL (MANAGER)
- **Authorized official phone:** (559) 222-9200

## Contact information

- **Practice address:** 222 W SHAW AVE, FRESNO, CA 93704-2644
- **Practice address phone:** (559) 222-9200
- **Practice address fax:** (559) 222-9201
- **Mailing address:** 222 W SHAW AVE, FRESNO, CA 93704-2644
- **Mailing address phone:** (559) 222-9200
- **Mailing address fax:** (559) 222-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | FNP22936 | CA | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020