Provider Demographics
NPI:1982223228
Name:CALIFORNIA SURGICAL MEDICAL CLINICS INC.
Entity Type:Organization
Organization Name:CALIFORNIA SURGICAL MEDICAL CLINICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GHASSAN
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:BACHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-779-8457
Mailing Address - Street 1:9526 N WINERY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4600
Mailing Address - Country:US
Mailing Address - Phone:559-779-8457
Mailing Address - Fax:559-322-5182
Practice Address - Street 1:1050 E PERRIN AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-5032
Practice Address - Country:US
Practice Address - Phone:550-475-6675
Practice Address - Fax:559-573-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty