Ultimate Living Medical Clinic, Prof. Corp.

NPI 1194746248 - Pain Medicine - 208VP0000X

NPI Details
NPI 1194746248
Enumeration Date 07/22/2006
Last Updated 10/16/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WILLIAM RALPH WILLIAM
Position PRESIDENT
Phone (559) 435-8000
Fax (559) 380-2879
Practice Location
1660 E HERNDON AVE
SUITE 101
FRESNO CA, 93720-3359, US
Phone (559) 435-8000
Fax (559) 380-2879
Business Location
1660 E HERNDON AVE
SUITE 101
FRESNO CA, 93720-3359, US
Phone (559) 435-8000
Fax (559) 380-2879
Toxanomy
Taxonomy Code 208VP0000X
License State California
License Number A66593
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According to our database, Ultimate Living Medical Clinic, Prof. Corp. NPI is 1194746248, taxonomy code is 208VP0000X and license number is A66593, license state is located at California. Ultimate Living Medical Clinic, Prof. Corp. physically located at 1660 E Herndon Ave, Fresno CA, 93720-3359. NPI Number 1033115704 has the healthcare provider type.

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1194746248 NPI number is provided on an as is basis without warranty of any kind. 1194746248 is maintained by the National Plan & Provider Enumeration System. The contents of Ultimate Living Medical Clinic, Prof. Corp. are for informational purposes only.