| |
6767 N Fresno St Ste 200 Fresno CA 93710-3740 | |
(559) 447-3020 | |
(559) 447-3025 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6767 N Fresno St Ste 200, Fresno, California |
Authorized Official Name and Position | Efema Nwajei (OWNER/PRESIDENT) |
Authorized Official Contact | 9083916809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6767 N Fresno St Ste 200 Fresno CA 93710-3740 Ph: (559) 447-3020 | 6767 N Fresno St Ste 200 Fresno CA 93710-3740 Ph: (559) 447-3020 |
NPI Number | 1417334244 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 01/10/2024 |
Medicare PECOS PAC ID | 5193187276 |
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Medicare Enrollment ID | O20230822001956 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417334244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 60838 (California) | Primary |
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