Monarch Medical Clinic | |
4590 E Clinton Ave Fresno CA 93703-2659 | |
(559) 878-4804 | |
Not Available |
Full Name | Monarch Medical Clinic |
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Speciality | Clinic/Center |
Location | 4590 E Clinton Ave, Fresno, California |
Authorized Official Name and Position | Maria Raya (EXECUTIVE SECRETARY) |
Authorized Official Contact | 5598784804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monarch Medical Clinic 4590 E Clinton Ave Fresno CA 93703-2659 Ph: (559) 878-4804 | Monarch Medical Clinic 4590 E Clinton Ave Fresno CA 93703-2659 Ph: (559) 878-4804 |
NPI Number | 1346992351 |
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Provider Enumeration Date | 01/20/2022 |
Last Update Date | 01/20/2022 |
Medicare PECOS PAC ID | 8729454665 |
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Medicare Enrollment ID | O20221018003646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346992351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ben Rad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063504249 PECOS PAC ID: 4981892353 Enrollment ID: I20101229000645 |
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