Individual provider · NPI-1

Calvin Reed Fesler, MD

Physical Medicine & Rehabilitation, Pain Medicine · Loma Linda, CA

NPI number1285169136
StatusActive
Last updated in NPPESApr 17, 2022

Details

NPI
1285169136
Entity type
Individual (NPI-1)
Name
Calvin Reed Fesler
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2017
Certification date
Apr 17, 2022
Last updated
Apr 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine65441TNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-6202

Mailing address

11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804

Phone 909-558-6202

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