Healthcare Provider Details

I. General information

NPI: 1649194812
Provider Name (Legal Business Name): GIGI TOLENTINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GIGI UNAY TOLENTINO

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 E CLINTON AVE
FRESNO CA
93703-2223
US

IV. Provider business mailing address

3517 LINCOLN AVE
CLOVIS CA
93619-3939
US

V. Phone/Fax

Practice location:
  • Phone: 559-225-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number95041027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: