Healthcare Provider Details

I. General information

NPI: 1144233487
Provider Name (Legal Business Name): PERINATAL ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 E ILLINOIS AVE SUITE 308
FRESNO CA
93701-2184
US

IV. Provider business mailing address

2273 E BEECHWOOD AVE
FRESNO CA
93720-0329
US

V. Phone/Fax

Practice location:
  • Phone: 559-268-8307
  • Fax: 559-268-0650
Mailing address:
  • Phone: 559-268-8307
  • Fax: 559-268-0650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS A HELM
Title or Position: PRESIDENT
Credential: MD
Phone: 559-268-8307