Healthcare Provider Details

I. General information

NPI: 1881603256
Provider Name (Legal Business Name): ARTHROSCOPIC SURGERY ASSOCIATES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255 N CEDAR AVE SUITE 102
FRESNO CA
93720-3831
US

IV. Provider business mailing address

PO BOX 27708
FRESNO CA
93729-7708
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-1245
  • Fax: 559-261-2968
Mailing address:
  • Phone: 559-438-1245
  • Fax: 559-261-2968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG32450
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT MICHELE MOCHIZUKI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 559-438-1245