| Ezenwugo Medical Group & Subsets | |
|
6769 N Fresno St Ste 201 Fresno CA 93710 | |
| (559) 440-1500 | |
| Not Available |
| Full Name | Ezenwugo Medical Group & Subsets |
|---|---|
| Speciality | Clinic/Center |
| Location | 6769 N Fresno St Ste 201, Fresno, California |
| Authorized Official Name and Position | Lorinda Castro (OFFICE MANAGER) |
| Authorized Official Contact | 5594401500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezenwugo Medical Group & Subsets 6769 N Fresno St Ste 201 Fresno CA 93710-3715 Ph: (559) 440-1500 | Ezenwugo Medical Group & Subsets 6769 N Fresno St Ste 201 Fresno CA 93710 Ph: (559) 440-1500 |
| NPI Number | 1073048591 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 0042570251 |
|---|---|
| Medicare Enrollment ID | O20180208001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073048591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Ogonna I Onyeje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508944000 PECOS PAC ID: 4486758166 Enrollment ID: I20070406000241 |
| Provider Name | Harkirat Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215595228 PECOS PAC ID: 2567797624 Enrollment ID: I20230706002687 |
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