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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 WELLS (CEO/PRESIDENT)
(559) 228-5429
Entity
Organization

Contact information

Practice address
1270 E SPRUCE AVE, FRESNO, CA 93720-3312
(559) 256-5200
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-5400

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
225100000X
Physical Therapist
2251X0800X
Orthopedic Physical Therapist
225200000X
Physical Therapy Assistant

Other

Enumeration date
03/01/2021
Last updated
02/14/2022
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