Organization
PREMIER CANCER CARE AND INFUSION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DINA IBRAHIM MD (PRESIDENT)
(559) 554-2100
Entity
Organization
Contact information
Practice address
6121 N THESTA ST STE 204, FRESNO, CA 93710-5294
(595) 554-2100
(559) 554-2114
Mailing address
PO BOX 26897, FRESNO, CA 93729-6897
(559) 554-2100
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY CODE
—
Enumeration date
08/11/2022
Last updated
06/17/2025
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