University Of California San Francisco Fresno

NPI 1457657116 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1457657116
Enumeration Date 01/28/2011
Last Updated 01/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name IVAN IVAN
Position M.D.
Phone (559) 499-6466
Fax
Practice Location
155 N FRESNO ST
SUITE # 326
FRESNO CA, 93701-2302, US
Phone (559) 499-6466
Fax
Business Location
155 N FRESNO ST
SUITE # 326
FRESNO CA, 93701-2302, US
Phone (559) 499-6466
Fax
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number 390200000X
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According to our database, University Of California San Francisco Fresno NPI is 1457657116, taxonomy code is 302R00000X and license number is 390200000X, license state is located at California. University Of California San Francisco Fresno physically located at 155 N Fresno St, Fresno CA, 93701-2302. NPI Number 1033115704 has the healthcare provider type.

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1457657116 NPI number is provided on an as is basis without warranty of any kind. 1457657116 is maintained by the National Plan & Provider Enumeration System. The contents of University Of California San Francisco Fresno are for informational purposes only.