Organization
CALIFORNIA NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE FASSNACHT DOGALI (ADMIN ASSIST)
(559) 999-0385
Entity
Organization
Contact information
Practice address
1111 EAST HERNDON AVE, SUITE 209, FRESNO, CA 93720
(559) 435-0770
(559) 435-7126
Mailing address
1111 EAST HERNDON AVE, SUITE 209, FRESNO, CA 93720
(559) 435-0770
(559) 435-7126
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G80285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G802850
—
CA
Enumeration date
02/21/2007
Last updated
08/22/2020
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