Greater Fresno Health Organization, Inc
Greater Fresno Health Organization, Inc is an Exclusive Provider Organization in Fresno, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4929 E Kings Canyon RdFresno, CA 93727-3812
Phone: (559) 255-6476
Fax: (559) 255-7906
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 04000036 (CA) |
|---|
Record details
| NPI number | 1265521488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bla Mouanoutoua — Ceo · (559) 255-6476 |
| Other names | Kings Winery Medical Clinic |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | April 29, 2024 |
| Certification date | April 29, 2024 |
| Mailing address | 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 |
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Greater Fresno Health Orgnization, Inc
4929 E Kings Canyon Rd, Fresno, CA 93727-3812 · (559) 255-6476