| Asian Pacific Islander | |
|
4445 E Inyo St Fresno CA 93702-2977 | |
| (559) 253-9131 | |
| Not Available |
| Full Name | Asian Pacific Islander |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4445 E Inyo St, Fresno, California |
| Authorized Official Name and Position | Dawan Utecht (DIR, DBH) |
| Authorized Official Contact | 5596006895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asian Pacific Islander 5108 E Clinton Way Ste 108 Fresno CA 93727-2043 Ph: (559) 452-3463 | Asian Pacific Islander 4445 E Inyo St Fresno CA 93702-2977 Ph: (559) 253-9131 |
| NPI Number | 1215076419 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215076419 | NPI | - | NPPES |
| 2185 | Other | COST CENTER | |
| 000001084 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 000001084 (California) | Primary |
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