| California Integrative Healthcare A Medical Corporation | |
|
1180 E Shaw Ave Ste 101 Fresno CA 93710-7812 | |
| (559) 389-0622 | |
| (559) 389-7809 |
| Full Name | California Integrative Healthcare A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1180 E Shaw Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Sonal Patel (OWNER) |
| Authorized Official Contact | 5594554707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Integrative Healthcare A Medical Corporation 373 E Shaw Ave Ste 332 Fresno CA 93710-7609 Ph: (559) 389-0622 | California Integrative Healthcare A Medical Corporation 1180 E Shaw Ave Ste 101 Fresno CA 93710-7812 Ph: (559) 389-0622 |
| NPI Number | 1750737953 |
|---|---|
| Provider Enumeration Date | 05/06/2016 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 3173804663 |
|---|---|
| Medicare Enrollment ID | O20161220002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750737953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amitabh U Goswami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447451539 PECOS PAC ID: 2860588688 Enrollment ID: I20071009000996 |
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