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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

NPI # 1336322437
LBN Legal business name FRESNO PEDIATRICS, A MEDICAL CORPORATION
Authorized official FRANK LOPEZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2007
Last updated 06/27/2013 - About 13 years ago
Identifiers
CA License # G76384
CA Medicaid GR0100331
CA Other G76384 LIC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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