Organization
FRESNO KINGS MADERA REGIONAL HEALTH AUTHORITY
Active
Other names
CalViva Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GREGOR (CHIEF FINANCIAL OFFICER)
(559) 445-8732
Entity
Organization
Contact information
Practice address
1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
(559) 445-8735
Mailing address
1315 VAN NESS AVE, SUITE 103, FRESNO, CA 93721-1727
(559) 445-8735
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
933-0484
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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