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NPI Code Detail

MEDICARE: KYLE MEJIA ALMODOVAR D.O.

MEDICARE: KYLE MEJIA ALMODOVAR D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician20A15120CA
2207R00000XInternal Medicine Physician20A15120CA
3207RS0012XSleep Medicine (Internal Medicine) Physician20A15120CA

General Provider Information

NPI Number : 1326433350
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE MEJIA ALMODOVAR D.O.
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 6733 N WILLOW AVE STE 107
Second Line :
City : FRESNO
State : CA
Zip : 93710-5953
Country : US
Telephone Number : 559-435-4700
Fax Number : 559-298-7951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 01/27/2021

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Directions to “ KYLE MEJIA ALMODOVAR D.O.” Practice Location

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