Healthcare Provider Details

I. General information

NPI: 1750290391
Provider Name (Legal Business Name): MICHAEL EDWARD MARGISON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 N SIERRA VISTA AVE
FRESNO CA
93726-6421
US

IV. Provider business mailing address

5627 N AVOCADO LN
FRESNO CA
93711-5938
US

V. Phone/Fax

Practice location:
  • Phone: 559-253-6510
  • Fax:
Mailing address:
  • Phone: 209-628-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number260094335
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: