Healthcare Provider Details

I. General information

NPI: 1104299379
Provider Name (Legal Business Name): RELIEF MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39355 CALIFORNIA ST SUITE #106
FREMONT CA
94538-1447
US

IV. Provider business mailing address

39355 CALIFORNIA ST SUITE #106
FREMONT CA
94538-1447
US

V. Phone/Fax

Practice location:
  • Phone: 510-796-2225
  • Fax: 510-792-0802
Mailing address:
  • Phone: 510-796-2225
  • Fax: 510-792-0802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number674032
License Number StateCA

VIII. Authorized Official

Name: DR. EDWARD CREMATA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 510-796-2225