Healthcare Provider Details

I. General information

NPI: 1861302150
Provider Name (Legal Business Name): LMNO PEDIATRIC NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11959 N HAIDYN AVE
FRESNO CA
93730-9737
US

IV. Provider business mailing address

11959 N HAIDYN AVE
FRESNO CA
93730-9737
US

V. Phone/Fax

Practice location:
  • Phone: 559-575-0559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MINAL PATEL
Title or Position: OWNER
Credential: CPNP-PC
Phone: 559-575-0559