Individual
EDGAR IVAN MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 O ST STE 202, FRESNO, CA 93721-1828
(559) 369-4625
(559) 369-7259
Mailing address
1350 O ST STE 202, FRESNO, CA 93721-1828
(559) 369-4625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA57015
CA
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
05/04/2019
Last updated
10/15/2024
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