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Organization

COMMUNITY FOUNDATION MEDICAL GROUP

Active
Parent organization
COMMUNITY FOUNDATION MEDICAL GROUP
Other names
Sante' Foundation Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Authorized official
MR. SCOTT B WELLS (CEO/PRESIDENT)
(559) 228-5429
Entity
Organization

Contact information

Practice address
7370 N PALM AVE STE 101, FRESNO, CA 93711-5782
(559) 228-5400
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-5400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207VX0201X
Gynecologic Oncology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
11/08/2017
Last updated
02/14/2022
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