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Organization
PREMIER CANCER CARE AND INFUSION CENTER
Active
Organization
PREMIER CANCER CARE AND INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DINA IBRAHIM MD (PRESIDENT)
(559) 554-2100
Entity
Organization
Contact information
Practice address
6121 N THESTA ST STE 204, FRESNO, CA 93710-5294
(595) 554-2100
(559) 554-2114
Mailing address
PO BOX 26897, FRESNO, CA 93729-6897
(559) 554-2100
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY CODE
—
Enumeration date
08/11/2022
Last updated
06/17/2025
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