Fred Logalbo, MD | |
1867 E Fir Ave Ste 101, Fresno, CA 93720-3841 | |
(559) 325-5800 | |
Not Available |
Full Name | Fred Logalbo |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1867 E Fir Ave Ste 101, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821164864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | G65032 (California) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | G65032 (California) | Primary |
Entity Name | Central Valley Community Medical Imaging |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376637264 PECOS PAC ID: 5799679874 Enrollment ID: O20040210000681 |
Entity Name | California Imaging Institute Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497764468 PECOS PAC ID: 1951325299 Enrollment ID: O20060125000531 |
Mailing Address | Practice Location Address |
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Fred Logalbo, MD 1867 E Fir Ave Ste 104, Fresno, CA 93720-3841 Ph: (559) 325-5800 | Fred Logalbo, MD 1867 E Fir Ave Ste 101, Fresno, CA 93720-3841 Ph: (559) 325-5800 |
David Toshio Nakamura, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6107 N Fresno St, Fresno, CA 93710 Phone: 858-703-7272 | |
Dr. William J Vlymen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1243 E Spruce, Ste 101, Fresno, CA 93720 Phone: 559-439-7226 | |
Dr. Judy L. Champaign, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6297 N Fresno St, Fresno, CA 93710 Phone: 559-325-5876 | |
Dr. Ivan Ramirez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1867 E Fir Ave, Suite 104, Fresno, CA 93720 Phone: 559-325-5800 Fax: 559-325-5838 | |
Dr. Puneet Rana, MD, MS Radiology Medicare: Medicare Enrolled Practice Location: 1827 E Fir Ave Ste 101, Fresno, CA 93720 Phone: 559-400-7629 | |
Dr. Ashkan Heshmatzadeh Behzadi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1510 E Herndon Ave Ste 110, Fresno, CA 93720 Phone: 559-450-6742 Fax: 559-450-6743 | |
Michael Edward Cody, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500 |