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Organization
IMPACT MEDICAL ASSOCIATES NORTH
Active
Organization
IMPACT MEDICAL ASSOCIATES NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CONNELLY (CEO)
(714) 905-9503
Entity
Organization
Contact information
Practice address
6327 N FRESNO ST STE 104, FRESNO, CA 93710-5236
(714) 905-9503
Mailing address
5355 AVENIDA ENCINAS STE 103, CARLSBAD, CA 92008-4332
(714) 905-9503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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