# SANJAY MASSON MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1457447112
- **Authorized official:** DR. SANJAY MASSON MD (PRESIDENT)
- **Authorized official phone:** (559) 624-3323

## Contact information

- **Practice address:** 1100 SOUTH AKERS ST, VISALIA, CA 93277
- **Practice address phone:** (559) 624-3323
- **Mailing address:** P.O.BOX 6998, VISALIA, CA 93290
- **Mailing address phone:** (559) 624-3323
- **Mailing address fax:** (559) 734-7713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A90258 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7431541140 | CIGNA | CA |