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Contact Information

FRESNO PEDIATRICS, A MEDICAL CORPORATION
2900 FRESNO ST
SUITE 102
FRESNO, CA93721-1439
 Phone: 559-229-2900
 Fax: 559-268-2929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FRESNO PEDIATRICS A MEDICAL CORPORATION · (Female)

NPI # 1336322437
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2007
Last updated 06/27/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G76384
  • CA Medicaid GR0100331
  • CA Other G76384 LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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