Organization Name: | WORKMED CALIFORNIA A PROFESSIONAL CORP |
NPI Number: | 1487029278 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLY CALHOUN (CHIEF OPERATIONS OFFICER) |
Mailing Address: | 5321 N Fresno St Suite Number 105c Fresno |
State: | CA US |
Postal Code: | 937106850 |
Phone Number: | 5592244600 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2015 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 207P00000X |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |