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Contact Information

FREMONT EAT NOSE & THROAT MED GROUP INC
2557 MOWRY AVE
#30
FREMONT, CA94538
 Phone: 510-797-9999
 Fax: 510-797-9783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for FREMONT EAT NOSE & THROAT MED GROUP INC

NPI Number 1952464943
LBN Legal business name FREMONT EAT NOSE & THROAT MED GROUP INC
Authorized official GORDON EPSTEIN - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid GR0027800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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