| Ignacio Guzman, A Professional Medical Corporation | |
|
1805 E Fir Ave Ste 101 Fresno CA 93720-3859 | |
| (559) 298-9600 | |
| (559) 298-9605 |
| Full Name | Ignacio Guzman, A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1805 E Fir Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Ignacio Guzman (OWNER) |
| Authorized Official Contact | 5592989600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignacio Guzman, A Professional Medical Corporation 1805 E Fir Ave Ste 101 Fresno CA 93720-3859 Ph: (559) 298-9600 | Ignacio Guzman, A Professional Medical Corporation 1805 E Fir Ave Ste 101 Fresno CA 93720-3859 Ph: (559) 298-9600 |
| NPI Number | 1679233761 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Medicare PECOS PAC ID | 2264825165 |
|---|---|
| Medicare Enrollment ID | O20220216001266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679233761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ignacio Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895724 PECOS PAC ID: 5193999555 Enrollment ID: I20111121000428 |
| Provider Name | Leticia Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689364523 PECOS PAC ID: 2466803598 Enrollment ID: I20240112001717 |
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