| Nidia Cristal Payan Md, Inc | |
|
6763 N Palm Ave Fresno CA 93704-1082 | |
| (323) 770-3812 | |
| Not Available |
| Full Name | Nidia Cristal Payan Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6763 N Palm Ave, Fresno, California |
| Authorized Official Name and Position | Bette Stanford (ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 5598924500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nidia Cristal Payan Md, Inc Po Box 25042 Fresno CA 93729-5042 Ph: (559) 892-4500 | Nidia Cristal Payan Md, Inc 6763 N Palm Ave Fresno CA 93704-1082 Ph: (323) 770-3812 |
| NPI Number | 1063270098 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 1557702156 |
|---|---|
| Medicare Enrollment ID | O20240514002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063270098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nidia Cristal Payan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477855344 PECOS PAC ID: 1153578711 Enrollment ID: I20240517001640 |
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