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Organization

ADHC OF FRESNO & CLOVIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ERIKNAZ DANIELYAN (BILLING)
(559) 227-8600
Entity
Organization

Contact information

Practice address
3202 E ASHLAN AVE, FRESNO, CA 93726-3502
(559) 227-8600
(559) 227-8200
Mailing address
3202 E ASHLAN AVE, FRESNO, CA 93726-3502
(559) 227-8600
(559) 227-8200

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ADU70386F
MEDI-CAL
CA
Enumeration date
04/23/2007
Last updated
08/22/2020
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