El Capitan Wound & Diabetic Center INC

NPI #1063774008 in Fresno, California

Provider Information

NPI Number: 1063774008
Entity Type: Organization
Organization Name: El Capitan Wound & Diabetic Center INC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 14, 2012
Last Updated: Jul 10, 2014

Practice Location

Address: 4747 N 1ST ST
Address 2: 132
City: Fresno
State: California
ZIP Code: 93726-0563
Phone: (559) 493-5484

Authorized Official

Name: DR. EARL D FERNANDO, M.D.
Title: PRESIDENT/CEO
Phone: (209) 384-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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