Organization Name: | EDMUND FISHER, M.D.,INC |
NPI Number: | 1003003401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARLA GALINDO (OFFICE MANAGER) |
Mailing Address: | 5301 Truxtun Ave Suite 200 Bakersfield |
State: | CA US |
Postal Code: | 933090742 |
Phone Number: | 6613236200 |
Fax Number: | 6613236223 |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | A60418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |