Organization
THE GOOD NEIGHBOR WALK IN CLINIC, INC
Active
Other names
good neighbor medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAN A AW M.D. (MEDICAL DIRECTOR)
(559) 221-9088
Entity
Organization
Contact information
Practice address
4844 N 1ST ST, SUITE 104, FRESNO, CA 93726-0529
(559) 221-9088
(559) 221-9087
Mailing address
4844 N 1ST ST, SUITE 104, FRESNO, CA 93726-0529
(559) 221-9088
(559) 221-9087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
A53206
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A53206
CA
261QP2300X
Primary Care Clinic/Center
Primary
00A532060
CA
261QP2300X
Primary Care Clinic/Center
RN505630-NP8370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A532060
—
CA
05
—
NP0083700
—
CA
Enumeration date
06/28/2007
Last updated
02/17/2015
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