| George C. Fareed, M.d. | |
|
751 W Legion Rd Suite #105 Brawley CA 92227-7732 | |
| (760) 344-8750 | |
| (760) 344-0558 |
| Full Name | George C. Fareed, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 751 W Legion Rd, Brawley, California |
| Authorized Official Name and Position | George C Fareed (PRESIDENT) |
| Authorized Official Contact | 7603448750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George C. Fareed, M.d. 751 W Legion Rd Ste 105 Brawley CA 92227-7754 Ph: (760) 344-8750 | George C. Fareed, M.d. 751 W Legion Rd Suite #105 Brawley CA 92227-7732 Ph: (760) 344-8750 |
| NPI Number | 1215121355 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215121355 | NPI | - | NPPES |
| 00G318500 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G31850 (California) | Primary |
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