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Organization
FRED H. NAGATA, D.P.M., INC.
Active
Organization
FRED H. NAGATA, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED HISAO NAGATA D.P.M. (OWNER)
(559) 435-3039
Entity
Organization
Contact information
Practice address
1191 E HERNDON AVE STE 101, FRESNO, CA 93720-3164
(559) 435-3039
(559) 435-1105
Mailing address
1191 E HERNDON AVE STE 101, FRESNO, CA 93720-3164
(559) 435-3039
(559) 435-1105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOOE25160
—
CA
Enumeration date
07/01/2009
Last updated
07/01/2009
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