Healthcare Provider Details

I. General information

NPI: 1609958594
Provider Name (Legal Business Name): FRANCISCO SALCEDO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 N FRESNO ST SUITE 108
FRESNO CA
93726-4039
US

IV. Provider business mailing address

4015 N FRESNO ST SUITE 108
FRESNO CA
93726-4039
US

V. Phone/Fax

Practice location:
  • Phone: 559-266-0759
  • Fax: 559-266-5491
Mailing address:
  • Phone: 559-266-0759
  • Fax: 559-266-5491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA55602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: