# ULTIMATE LIVING MEDICAL CLINIC, PROF. CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194746248
- **Authorized official:** DR. WILLIAM RALPH WORK M.D. (PRESIDENT)
- **Authorized official phone:** (559) 435-8000

## Contact information

- **Practice address:** 1660 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3359
- **Practice address phone:** (559) 435-8000
- **Practice address fax:** (559) 380-2879
- **Mailing address:** 1660 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3359
- **Mailing address phone:** (559) 435-8000
- **Mailing address fax:** (559) 380-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A66593 | CA | Yes |
| 208VP0000X | Pain Medicine Physician | A66593 | CA | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 10/16/2008