Organization
MEDICAL GROUPS OF DOWNTOWN FRESNO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY FAY MOY MD (CEO)
(916) 806-9778
Entity
Organization
Contact information
Practice address
2841 TULARE ST, FRESNO, CA 93721-1320
(559) 284-7790
(559) 323-1857
Mailing address
2841 TULARE ST, FRESNO, CA 93721-1320
(559) 284-7790
(559) 323-1857
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
G53062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3447764
CORPORATION NUMBER
CA
Enumeration date
04/05/2012
Last updated
04/05/2012
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