Healthcare Provider Details

I. General information

NPI: 1346263225
Provider Name (Legal Business Name): JEANETTE CSERNA-KINION MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEANETTE CSERNA MD

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5479 N FRESNO ST STE 100
FRESNO CA
93710-8328
US

IV. Provider business mailing address

5479 N FRESNO ST STE 100
FRESNO CA
93710-8328
US

V. Phone/Fax

Practice location:
  • Phone: 559-439-1832
  • Fax: 559-439-6843
Mailing address:
  • Phone: 559-439-1832
  • Fax: 559-439-6843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA39950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: