Organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN GOMEZ (M.D.)
(559) 499-6466
Entity
Organization
Contact information
Practice address
155 N FRESNO ST, SUITE # 326, FRESNO, CA 93701-2302
(559) 499-6466
Mailing address
155 N FRESNO ST, SUITE # 326, FRESNO, CA 93701-2302
(559) 499-6466
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
390200000X
CA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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