California Vein & Laser Center Medical Clinic Inc.

NPI #1154519007 in Fresno, California

Provider Information

NPI Number: 1154519007
Entity Type: Organization
Organization Name: California Vein & Laser Center Medical Clinic Inc.
Primary Specialty: Specialist
Enumeration Date: Oct 4, 2007
Last Updated: May 14, 2013

Practice Location

Address: 7335 N 1ST ST STE 103
City: Fresno
State: California
ZIP Code: 93720-2968
Phone: (559) 438-2800

Authorized Official

Name: DR. PAUL R MONTAGUE, MD
Title: PRESIDENT
Phone: (559) 438-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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