# FRESNO SHIELDS MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1669547345
- **Authorized official:** TIMOTHY K ATMAJIAN MD (PRESIDENT OWNER)
- **Authorized official phone:** (559) 227-1622

## Contact information

- **Practice address:** 3030 N FRESNO ST, SUITE \# 101, FRESNO, CA 93703
- **Practice address phone:** (559) 227-1622
- **Practice address fax:** (559) 227-7668
- **Mailing address:** 3030 N FRESNO ST, SUITE \# 101, FRESNO, CA 93703
- **Mailing address phone:** (559) 227-1622
- **Mailing address fax:** (559) 227-7668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | CA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 01/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0101280 | — | CA |
