| El Capitan Wound & Diabetic Center Inc | |
|
4747 N 1st St 132 Fresno CA 93726-0563 | |
| (559) 493-5484 | |
| (559) 493-5751 |
| Full Name | El Capitan Wound & Diabetic Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4747 N 1st St, Fresno, California |
| Authorized Official Name and Position | Earl D Fernando (PRESIDENT/CEO) |
| Authorized Official Contact | 2093841400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Capitan Wound & Diabetic Center Inc 4747 N 1st St 132 Fresno CA 93726-0563 Ph: (559) 493-5484 | El Capitan Wound & Diabetic Center Inc 4747 N 1st St 132 Fresno CA 93726-0563 Ph: (559) 493-5484 |
| NPI Number | 1063774008 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063774008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G64927 (California) | Primary |
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