FRESNO VA; NPI #1386998425

Contact Information

FRESNO VA

2615 E CLINTON AVE
FRESNO, CA 93703-2223

Phone: 559-225-6100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for FRESNO VA

NPI # 1386998425

LBN Legal business name FRESNO VA

Authorized official DEVI MAHINDRA - (NURSE PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2012

Last updated 10/26/2012 - About 14 years ago

Identifiers

License #

22016

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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