Organization
UNITED CALIFORNIA SURGICAL FORUM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAME D IBERDEMAJ M.D., (PRESIDENT)
(559) 673-5657
Entity
Organization
Contact information
Practice address
1000 E ALMOND AVE, MADERA, CA 93637-5693
(559) 673-5657
(559) 549-9736
Mailing address
1000 E ALMOND AVE # 3A, MADERA, CA 93637-5693
(559) 673-5657
(559) 549-9736
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
112001
CA
2086S0129X
Vascular Surgery Physician
112001
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
112001
CA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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