Provider Demographics
NPI:1104299379
Name:RELIEF MEDICAL GROUP INC
Entity type:Organization
Organization Name:RELIEF MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CREMATA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-796-2225
Mailing Address - Street 1:39355 CALIFORNIA ST
Mailing Address - Street 2:SUITE #106
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1447
Mailing Address - Country:US
Mailing Address - Phone:510-796-2225
Mailing Address - Fax:510-792-0802
Practice Address - Street 1:39355 CALIFORNIA ST
Practice Address - Street 2:SUITE #106
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1447
Practice Address - Country:US
Practice Address - Phone:510-796-2225
Practice Address - Fax:510-792-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6740322081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty