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MD MEDICAL GROUP INC. NPI 1700883733


NPI Information

NPI: 1700883733
Provider Name: MD MEDICAL GROUP, INC.

Doing Business As: CALIFORNIA NEUROLOGICAL CENTER, INC.

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 05D2190829

Address:
7585 N CEDAR AVE
SUITE 102
FRESNO, CA
ZIP 93720
Phone: (559) 243-1232
Get Directions

MD MEDICAL GROUP, INC. is a neurology psychiatry neurology in Fresno, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MD MEDICAL GROUP, INC. NPI is 1700883733. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Neurological Center, Inc..

The provider's business location address is:

7585 N CEDAR AVE
SUITE 102
FRESNO, CA
ZIP 93720-604
Phone: (559) 243-1232
Fax: (559) 243-9954

The provider's authorized official is Abbas Mehdi .
The authorized official title is President and has the following contact phone number (559) 243-1232.

The CLIA number assigned to this NPI record is 05D2190829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 2/24/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyA66769CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ25148ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2GR0100150MEDICAIDCALIFORNIA
3ZZZ25147ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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

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