Organization
CALIFORNIA EYE INSTITUTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ANDREW MAXWELL M.D. (PRESIDENT)
(559) 449-5000
Entity
Organization
Contact information
Practice address
1360 E HERNDON AVE, SUITE 240, FRESNO, CA 93720-3326
(559) 449-5000
(559) 449-5004
Mailing address
1360 E HERNDON AVE, SUITE 240, FRESNO, CA 93720-3326
(559) 449-5000
(559) 449-5004
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030580
—
CA
Enumeration date
07/27/2006
Last updated
03/26/2012
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