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4770 N Cedar Ave Fresno CA 93726-1065 | |
(559) 860-4900 | |
(559) 255-7906 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4770 N Cedar Ave, Fresno, California |
Authorized Official Name and Position | Bla Mouanoutoua (CEO) |
Authorized Official Contact | 5592556476 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4770 N Cedar Ave Fresno CA 93726-1065 Ph: (559) 860-4900 | 4770 N Cedar Ave Fresno CA 93726-1065 Ph: (559) 860-4900 |
NPI Number | 1033627179 |
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Provider Enumeration Date | 01/10/2018 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 2860523990 |
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Medicare Enrollment ID | O20190329001866 |
Identifier | Type | State | Issuer |
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1033627179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2630 Tuolumne St, Fresno, CA 93721 Phone: 800-492-4227 Fax: 559-646-6614 |