Organization
SEQUOIA COMMUNITY HEALTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L MAFFEO M.D. (CHIEF EXECUTIVE OFFICER)
(559) 487-7806
Entity
Organization
Contact information
Practice address
1350 S ORANGE AVE, FRESNO, CA 93702-3463
(559) 457-5400
(559) 457-5491
Mailing address
1945 N FINE AVE, FRESNO, CA 93727-1528
(559) 457-5283
(559) 457-5892
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
04000014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70037F
—
CA
01
—
ZZZ89755Z
MEDICARE PART B/NHIC
CA
Enumeration date
05/17/2006
Last updated
01/29/2008
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