Individual
FRED HISAO NAGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1191 E HERNDON AVE, STE 101, FRESNO, CA 93720-3164
(559) 435-3039
(559) 435-1105
Mailing address
1191 E HERNDON, STE 101, FRESNO, CA 93720-3164
(559) 435-3039
(559) 435-1105
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E25160
—
CA
Enumeration date
04/28/2006
Last updated
07/22/2010
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