| William Garnica A Medical Corporation | |
|
2384 E Gettysburg Ave Fresno CA 93726-0320 | |
| (559) 233-0335 | |
| (559) 233-0315 |
| Full Name | William Garnica A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2384 E Gettysburg Ave, Fresno, California |
| Authorized Official Name and Position | Juan G Bautista (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5592330335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Garnica A Medical Corporation 2384 E Gettysburg Ave Fresno CA 93726-0320 Ph: (559) 233-0335 | William Garnica A Medical Corporation 2384 E Gettysburg Ave Fresno CA 93726-0320 Ph: (559) 233-0335 |
| NPI Number | 1760651335 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 6406838572 |
|---|---|
| Medicare Enrollment ID | O20040602001372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760651335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00A677520 (California) | Primary |
| Provider Name | Juan G Bautista |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164713194 PECOS PAC ID: 4789820192 Enrollment ID: I20130409000290 |
| Provider Name | Diana C Garnica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275052987 PECOS PAC ID: 1557730553 Enrollment ID: I20221214001761 |
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