Organization
CAL CENTRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL PENUNURI MD (MEDICAL DIRECTOR)
(949) 697-9954
Entity
Organization
Contact information
Practice address
204 N K ST, DINUBA, CA 93618-1926
(559) 596-5107
(559) 596-5108
Mailing address
204 N K ST, DINUBA, CA 93618-1926
(559) 596-5107
(559) 596-5108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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