Organization
SANJAY MASSON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY MASSON MD (PRESIDENT)
(559) 624-3323
Entity
Organization
Contact information
Practice address
1100 SOUTH AKERS ST, VISALIA, CA 93277
(559) 624-3323
Mailing address
P.O.BOX 6998, VISALIA, CA 93290
(559) 624-3323
(559) 734-7713
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A90258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7431541140
CIGNA
CA
Enumeration date
10/04/2006
Last updated
08/22/2020
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