Provider Demographics
NPI:1386707537
Name:CENTRAL CALIFORNIA FAMILY MEDICINE A MEDICAL CORPORATION
Entity type:Organization
Organization Name:CENTRAL CALIFORNIA FAMILY MEDICINE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:EMAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-438-8888
Mailing Address - Street 1:7565 N CEDAR AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2687
Mailing Address - Country:US
Mailing Address - Phone:559-438-8888
Mailing Address - Fax:559-438-8887
Practice Address - Street 1:7565 N CEDAR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2687
Practice Address - Country:US
Practice Address - Phone:559-438-8888
Practice Address - Fax:559-438-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty