Organization
FRESNO PEDIATRICS, A MEDICAL CORPORATION
Active
Other names
FRESNO PEDIATRICS AMC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK EPHRAIM LOPEZ MD (PRESIDENT)
(559) 229-2900
Entity
Organization
Contact information
Practice address
2900 FRESNO ST, SUITE 102, FRESNO, CA 93721-1439
(559) 229-2900
(559) 268-2929
Mailing address
2900 FRESNO ST, SUITE 102, FRESNO, CA 93721-1439
(559) 229-2900
(559) 268-2929
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G76384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G76384
LIC
CA
05
—
GR0100331
—
CA
Enumeration date
12/11/2007
Last updated
06/27/2013
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