Organization
DR TED Y FISHER A PROFESSIONAL CORPORATION
Active
Parent organization
DESERT VEIN CLINIC
Other names
Desert Vein Clinic ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT VEIN CLINIC
Authorized official
DR. TED YOSHIO FISHER MD MD (CEO & PRESIDENT)
(619) 905-1164
Entity
Organization
Contact information
Practice address
628 G ST, BRAWLEY, CA 92227-2544
(760) 344-1101
Mailing address
608 G ST, BRAWLEY, CA 92227-2568
(760) 344-1102
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A052523
CA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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