Healthcare Provider Details

I. General information

NPI: 1770197659
Provider Name (Legal Business Name): THE FRESNO CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 08/23/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4855 E CESAR CHAVEZ BLVD
FRESNO CA
93727-3811
US

IV. Provider business mailing address

1725 N FINE AVE
FRESNO CA
93727-1616
US

V. Phone/Fax

Practice location:
  • Phone: 559-255-8395
  • Fax: 559-255-1656
Mailing address:
  • Phone: 559-255-8395
  • Fax: 559-255-1656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENSEN VANG
Title or Position: CFO/CHIEF DEVELOPMENT OFFICER
Credential:
Phone: 559-255-8395