Provider Demographics
NPI:1336882364
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:559-336-1090
Mailing Address - Street 1:1050 E PERRIN AVE # 103-105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5032
Mailing Address - Country:US
Mailing Address - Phone:559-336-1090
Mailing Address - Fax:559-554-2025
Practice Address - Street 1:1050 E PERRIN AVE # 103-105
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:559-336-1090
Practice Address - Fax:559-554-2025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALIFORNIA SURGICAL MEDICAL CLINICS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty