Healthcare Provider Details

I. General information

NPI: 1801824206
Provider Name (Legal Business Name): OAKHURST EMERGENCY MEDICINE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48677 VICTORIA LN
OAKHURST CA
93644-9216
US

IV. Provider business mailing address

PO BOX 28916
FRESNO CA
93729-8916
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-2992
  • Fax:
Mailing address:
  • Phone: 559-228-4298
  • Fax: 559-224-3920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License NumberA50552
License Number StateCA

VIII. Authorized Official

Name: DR. MARY SADLEK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 559-228-4298