Organization
FRESNO SHIELDS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY K ATMAJIAN MD (PRESIDENT OWNER)
(559) 227-1622
Entity
Organization
Contact information
Practice address
3030 N FRESNO ST, SUITE # 101, FRESNO, CA 93703
(559) 227-1622
(559) 227-7668
Mailing address
3030 N FRESNO ST, SUITE # 101, FRESNO, CA 93703
(559) 227-1622
(559) 227-7668
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101280
—
CA
Enumeration date
11/21/2006
Last updated
01/07/2013
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