Healthcare Provider Details

I. General information

NPI: 1538633458
Provider Name (Legal Business Name): SCOTT GIOVANI RCP, RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4785 N 1ST ST
FRESNO CA
93726-0513
US

IV. Provider business mailing address

4785 N 1ST ST
FRESNO CA
93726-0513
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-2302
  • Fax:
Mailing address:
  • Phone: 559-448-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number20948
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: