# MARIANO & QUEROL MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresno Family Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861520264
- **Authorized official:** DR. HIPOLITO GALLARDO MARIANO JR. M.D (PRESIDENT)
- **Authorized official phone:** (559) 222-5900

## Contact information

- **Practice address:** 3636 N 1ST ST, SUITE 150, FRESNO, CA 93726-6800
- **Practice address phone:** (559) 222-5900
- **Practice address fax:** (559) 222-0029
- **Mailing address:** 3636 N 1ST ST, SUITE 150, FRESNO, CA 93726-6800
- **Mailing address phone:** (559) 222-5900
- **Mailing address fax:** (559) 222-0029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A88903 | CA | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/20/2007