Organization
CHESTNUT PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BANH MD (SECRETARY)
(559) 978-8669
Entity
Organization
Contact information
Practice address
7055 N CHESTNUT AVE, SUITE 106, FRESNO, CA 93720-0350
(559) 797-4400
(559) 797-4401
Mailing address
766 E WOODHAVEN LN, FRESNO, CA 93720-1218
(559) 978-8669
(559) 322-2936
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A93159
CA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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