Desert Vein Clinic

LBN: Dr Ted Y Fisher A Professional Corporation
Desert Vein Clinic is an health care organization with primary practice located at 628 G St , Brawley CA 92227-2544. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Dr Ted Y Fisher A Professional Corporation can be contacted via phone (760) 344-1101, or through Fisher, Ted Yoshio via phone (972) 822-1957.

Contact Information

Primary practice address
628 G St Brawley CA 92227-2544
Phone: (760) 344-1101
Fax: (760) 344-4985
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Ted Yoshio Doctor of Medicine (MD)
Phone: (972) 822-1957

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X A52523 California

Profile Details

NPI number 1235593260
LBN Legal business name Dr Ted Y Fisher A Professional Corporation
DBA Doing business as Desert Vein Clinic
Authorized official Fisher, Ted Yoshio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2016
Last updated May 19th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235593260 NPPES
Texas MEDICAID 00220G

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