Sunnyside Medical Clinis | |
5561 E Kings Canyon Rd Fresno CA 93727-4528 | |
(559) 255-0496 | |
(559) 253-0510 |
Full Name | Sunnyside Medical Clinis |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 5561 E Kings Canyon Rd, Fresno, California |
Authorized Official Name and Position | Jose Lopez Ibarra (MEDICAL PROVIDER) |
Authorized Official Contact | 5592550496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunnyside Medical Clinis 5561 E Kings Canyon Rd Fresno CA 93727-4528 Ph: (559) 255-0496 | Sunnyside Medical Clinis 5561 E Kings Canyon Rd Fresno CA 93727-4528 Ph: (559) 255-0496 |
NPI Number | 1932353166 |
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Provider Enumeration Date | 11/14/2008 |
Last Update Date | 11/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932353166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G73482 (California) | Primary |
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