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CAL SPORT PHYSICAL MEDICINE INC NPI 1952868218


NPI Information

NPI: 1952868218
Provider Name: CAL SPORT PHYSICAL MEDICINE INC

Doing Business As: CAL SPORT PHYSICAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
157 S SIERRA AVE STE B
OAKDALE, CA
ZIP 95361
Phone: (209) 322-2636
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CAL SPORT PHYSICAL MEDICINE INC is an internal medicine in Oakdale, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CAL SPORT PHYSICAL MEDICINE INC NPI is 1952868218. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cal Sport Physical Medicine.

The provider's business location address is:

157 S SIERRA AVE STE B
OAKDALE, CA
ZIP 95361-049
Phone: (209) 322-2636

The provider's authorized official is Yolanda M Julian .
The authorized official title is Physician/owner and has the following contact phone number (530) 682-6140.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 3/28/2019.


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
1207R00000XInternal MedicineYes

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: 11/14/2023

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