| Fresno Shields Medical Center Inc | |
|
3030 N Fresno St Suite # 101 Fresno CA 93703 | |
| (559) 227-1622 | |
| (559) 227-7668 |
| Full Name | Fresno Shields Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 3030 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Timothy K Atmajian (PRESIDENT OWNER) |
| Authorized Official Contact | 5592271622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Shields Medical Center Inc 3030 N Fresno St Suite # 101 Fresno CA 93703 Ph: (559) 227-1622 | Fresno Shields Medical Center Inc 3030 N Fresno St Suite # 101 Fresno CA 93703 Ph: (559) 227-1622 |
| NPI Number | 1669547345 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669547345 | NPI | - | NPPES |
| GR0101280 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
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