Organization
SUNNYSIDE MEDICAL CLINIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LOPEZ IBARRA M.D (MEDICAL PROVIDER)
(559) 255-0496
Entity
Organization
Contact information
Practice address
5561 E KINGS CANYON RD, FRESNO, CA 93727-4528
(559) 255-0496
(559) 253-0510
Mailing address
5561 E KINGS CANYON RD, FRESNO, CA 93727-4528
(559) 255-0496
(559) 253-0510
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G73482
CA
Other
Enumeration date
11/14/2008
Last updated
11/17/2008
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