Individual
KYLE MEJIA ALMODOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6733 N WILLOW AVE STE 107, FRESNO, CA 93710-5953
(559) 435-4700
(559) 298-7951
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15120
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
20A15120
CA
208M00000X
Hospitalist Physician
20A15120
CA
Other
Enumeration date
04/06/2015
Last updated
01/27/2021
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