Ucsf Fresno Allied Medical Group | |
3313 N Hilliard St Fresno CA 93726-5854 | |
(559) 227-4810 | |
(559) 227-4167 |
Full Name | Ucsf Fresno Allied Medical Group |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 3313 N Hilliard St, Fresno, California |
Authorized Official Name and Position | Joan Voris (ASSOICATE DEAN) |
Authorized Official Contact | 5594996427 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ucsf Fresno Allied Medical Group Po Box 60000 File 740522 San Francisco CA 94160-0001 Ph: (559) 227-4810 | Ucsf Fresno Allied Medical Group 3313 N Hilliard St Fresno CA 93726-5854 Ph: (559) 227-4810 |
NPI Number | 1487839932 |
---|---|
Provider Enumeration Date | 01/03/2008 |
Last Update Date | 05/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487839932 | NPI | - | NPPES |
CK5696 | Other | CA | RAILROAD MEDICARE |
ZZZ5296Y | Other | CA | BLUE OF CA |
9151935 | Other | CA | MEDI-CAL PIN |
2342434 | Medicaid | CA | |
GPS001380 | Medicaid | CA | |
GR0091021 | Medicaid | CA | |
1821014374 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PSY19509 (California) | Primary |
103G00000X | Clinical Neuropsychologist | 20822 (California) | Secondary |
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