Provider Demographics
NPI:1134561400
Name:CALIFORNIA RHEUMATOLOGY AND WELLNESS INC.
Entity type:Organization
Organization Name:CALIFORNIA RHEUMATOLOGY AND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRK-DULAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-253-2800
Mailing Address - Street 1:PO BOX 28915
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8915
Mailing Address - Country:US
Mailing Address - Phone:559-449-0331
Mailing Address - Fax:559-449-0246
Practice Address - Street 1:7082 N MAPLE AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-8004
Practice Address - Country:US
Practice Address - Phone:559-449-0331
Practice Address - Fax:559-449-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117190207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty