Provider Demographics
NPI:1396800165
Name:BONE DENSITY MEDICAL GROUP OF FRESNO, INC.
Entity type:Organization
Organization Name:BONE DENSITY MEDICAL GROUP OF FRESNO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CALMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-435-0311
Mailing Address - Street 1:1313 E HERNDON AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3306
Mailing Address - Country:US
Mailing Address - Phone:559-435-8120
Mailing Address - Fax:559-435-7539
Practice Address - Street 1:1313 E HERNDON AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3306
Practice Address - Country:US
Practice Address - Phone:559-435-8120
Practice Address - Fax:559-435-7539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center