DR TED Y FISHER A PROFESSIONAL CORPORATION NPI 1154873362

NPI Information

NPI: 1154873362
Provider Name: DR TED Y FISHER A PROFESSIONAL CORPORATION

Doing Business As: DESERT VEIN CLINIC ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
628 G ST
BRAWLEY, CA
ZIP 92227
Phone: (760) 344-1101
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DR TED Y FISHER A PROFESSIONAL CORPORATION is an ambulatory surgical clinic center in Brawley, CA. DR TED Y FISHER A PROFESSIONAL CORPORATION NPI is 1154873362. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Vein Clinic Asc.

The provider's business location address is:

628 G ST
BRAWLEY, CA
ZIP 92227-544
Phone: (760) 344-1101

The provider's authorized official is Ted Yoshio Fisher Md .
The authorized official title is Ceo & President and has the following contact phone number (619) 905-1164.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A052523	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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