Organization
FRESNO WOMEN'S MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON MONICA KOPACZ MD (PHYSICIAN-SOLE OWNER)
(559) 322-2900
Entity
Organization
Contact information
Practice address
726 N. MEDICAL CENTER DRIVE EAST, SUITE 221, CLOVIS, CA 93611-6886
(559) 322-2900
(559) 324-8793
Mailing address
726 N. MEDICAL CENTER DRIVE EAST, SUITE 221, CLOVIS, CA 93611-6886
(559) 322-2900
(559) 324-8793
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750703237
—
CA
Enumeration date
07/30/2006
Last updated
06/08/2023
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