| Community Hospitalist Medical Group Inc. | |
|
1180 E Shaw Ave Suite 101 Fresno CA 93710-7812 | |
| (559) 228-4222 | |
| (559) 228-4299 |
| Full Name | Community Hospitalist Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1180 E Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Grant Nakamura (PRESIDENT) |
| Authorized Official Contact | 5592285400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Hospitalist Medical Group Inc. Po Box 28901 Fresno CA 93729-8901 Ph: (559) 228-4222 | Community Hospitalist Medical Group Inc. 1180 E Shaw Ave Suite 101 Fresno CA 93710-7812 Ph: (559) 228-4222 |
| NPI Number | 1467437376 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467437376 | NPI | - | NPPES |
| GR0089710 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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