Twg Medical Cac | |
347 E Barstow Ave Ste 102 Fresno CA 93710-6039 | |
(408) 440-0750 | |
Not Available |
Full Name | Twg Medical Cac |
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Speciality | Clinic/Center |
Location | 347 E Barstow Ave Ste 102, Fresno, California |
Authorized Official Name and Position | Tien Trinh (PRESIDENT/OWNER) |
Authorized Official Contact | 4084400750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Twg Medical Cac 1627 Hill Top View Ter San Jose CA 95138-2710 Ph: (408) 440-0750 | Twg Medical Cac 347 E Barstow Ave Ste 102 Fresno CA 93710-6039 Ph: (408) 440-0750 |
NPI Number | 1720774466 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 04/14/2023 |
Medicare PECOS PAC ID | 1355701475 |
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Medicare Enrollment ID | O20230720000826 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720774466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Gaylene Jeanette Soloniuk-tays |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215987409 PECOS PAC ID: 8224949185 Enrollment ID: I20031203000771 |
Provider Name | Dzung Trinh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679651582 PECOS PAC ID: 6901081637 Enrollment ID: I20110425000086 |
Provider Name | Mirella Younes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164718896 PECOS PAC ID: 4082854427 Enrollment ID: I20180228000242 |
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