Healthcare Provider Details

I. General information

NPI: 1972675593
Provider Name (Legal Business Name): CALIFORNIA ONCOLOGY OF THE CENTRAL VALLEY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N THESTA ST STE 204
FRESNO CA
93710-8603
US

IV. Provider business mailing address

6121 N THESTA ST 204
FRESNO CA
93710-8603
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-7390
  • Fax: 559-438-7166
Mailing address:
  • Phone: 559-438-7390
  • Fax: 559-438-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER R PERKINS
Title or Position: PRESIDENT
Credential: MD
Phone: 559-438-7390