| Department Of Public Health | |
|
1221 Fulton Mall Immunization Clinic,1st Floor Fresno CA 93721-1915 | |
| (559) 600-3281 | |
| (559) 600-7726 |
| Full Name | Department Of Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1221 Fulton Mall, Fresno, California |
| Authorized Official Name and Position | David Pomaville (DIRECTOR) |
| Authorized Official Contact | 5596003200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Public Health Po Box 11800 6th Floor Fresno CA 93775-1800 Ph: (559) 600-6415 | Department Of Public Health 1221 Fulton Mall Immunization Clinic,1st Floor Fresno CA 93721-1915 Ph: (559) 600-3281 |
| NPI Number | 1093898348 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 10/27/2014 |
| Medicare PECOS PAC ID | 4981591690 |
|---|---|
| Medicare Enrollment ID | O20090930000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093898348 | NPI | - | NPPES |
| CF418A | Other | CA | MEDICARE |
| 341 | Other | CA | CHDP BLUE CROSS |
| 351 | Other | CA | CHDP HEALTH NET |
| CH086 | Other | CA | CHDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (California) | Primary |
| Provider Name | Samer Al Saghbini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881772457 PECOS PAC ID: 4385545490 Enrollment ID: I20040120000658 |
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