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Contact Information

ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES MEDICAL GROUP INC
205 E RIVER PARK CIR
#460
FRESNO, CA93720-1571
 Phone: 559-261-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES MEDICAL GROUP INC

NPI Number 1114980034
LBN Legal business name ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES MEDICAL GROUP INC
Authorized official KELVIN HIGA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2006
Last updated 02/13/2013 - About 13 years ago
Identifiers
CA License # G53771
CA Medicaid GR0098660
CA Other ZZZ26512Z MEDICARE
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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