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Organization

MEDICOS UNIDOS DE AVENAL

Active
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Organization

MEDICOS UNIDOS DE AVENAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOMAS BALLESTEROS RIOS M.D. (OWNER)
(559) 386-9000
Entity
Organization

Contact information

Practice address
148 E KINGS ST, AVENAL, CA 93204-1529
(559) 386-9000
Mailing address
PO BOX 530, LEMOORE, CA 93245-0530
(559) 386-9000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM058905F
—
CA
Enumeration date
08/07/2007
Last updated
08/07/2007
About Stedi
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