Organization
FREMONT PAIN TREAMTMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TULSIDAS GWALANI MD (OWNER)
(510) 818-9237
Entity
Organization
Contact information
Practice address
656 MOWRY AVE, FREMONT, CA 94536-4113
(510) 818-9237
(510) 818-9222
Mailing address
656 MOWRY AVE, FREMONT, CA 94536-4113
(510) 818-9237
(510) 818-9222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A76626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A766261
PTEN
CA
Enumeration date
12/14/2012
Last updated
04/15/2025
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