Organization
CALIFORNIA VEIN & LASER CENTER MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R MONTAGUE MD (PRESIDENT)
(559) 438-2800
Entity
Organization
Contact information
Practice address
7335 N 1ST ST STE 103, FRESNO, CA 93720-2968
(559) 438-2800
(559) 438-8163
Mailing address
7335 N 1ST ST STE 103, FRESNO, CA 93720-2968
(559) 438-2800
(559) 438-8163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G27007
CA
Other
Enumeration date
10/04/2007
Last updated
05/14/2013
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