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NPI Code Detail

MEDICARE: AVG INC

MEDICARE: AVG INC
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
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588749469
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVG INC
Provider Business Mailing Address
First Line : 2484 E GETTYSBURG AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-0322
Country : US
Telephone Number : 559-222-6276
Fax Number : 559-222-4388
Provider Business Practice Location Address
First Line : 2484 E GETTYSBURG AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-0322
Country : US
Telephone Number : 559-222-6276
Fax Number : 559-222-4388
Authorized Official
Title or Position : PRESIDENT
Name : ANNA GEVORKYAN
Credential :
Telephone Number : 559-222-6276
Provider Enumeration Date : 10/26/2006
Last Update Date : 08/22/2020

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Directions to “AVG INC ” Practice Location

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