# JANE F. KARDASHIAN, M.D., INC.

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

## Provider details

- **NPI number:** 1356490288
- **Authorized official:** DR. JANE F KARDASHIAN M.D. (OWNER)
- **Authorized official phone:** (559) 435-0337

## Contact information

- **Practice address:** 6769 N FRESNO ST, FRESNO, CA 93710-3715
- **Practice address phone:** (559) 435-0337
- **Practice address fax:** (559) 435-2918
- **Mailing address:** 6769 N FRESNO ST, FRESNO, CA 93710-3715
- **Mailing address phone:** (559) 435-0337
- **Mailing address fax:** (559) 435-2918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G43958 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020