Healthcare Provider Details

I. General information

NPI: 1578445169
Provider Name (Legal Business Name): RAFAL CYMER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 N WAYTE LN
FRESNO CA
93701-2124
US

IV. Provider business mailing address

8151 N CEDAR AVE APT 212
FRESNO CA
93720-2286
US

V. Phone/Fax

Practice location:
  • Phone: 559-459-5725
  • Fax:
Mailing address:
  • Phone: 786-252-6095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: