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Organization
GREEN SPORTS MEDICINE INC
Active
Organization
GREEN SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA LEAL (ADMIN)
(559) 387-5230
Entity
Organization
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 813-3005
Mailing address
2021 HERNDON AVE STE 201, CLOVIS, CA 93611-6317
(559) 387-5230
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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