Organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Active
Parent organization
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP, INC.
Authorized official
VICKIE PICCOLO (PHYSICIAN SERVICES MANAGER)
(559) 443-2682
Entity
Organization
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 443-2682
(559) 443-2681
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/22/2024
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