Organization
COMMUNITY REGIONAL ANESTHESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI FAYED MD (GROUP PRESIDENT)
(559) 459-6000
Entity
Organization
Contact information
Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103920
—
CA
Enumeration date
05/25/2007
Last updated
07/02/2012
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