Healthcare Provider Details

I. General information

NPI: 1659822914
Provider Name (Legal Business Name): FRESNO AMBULATORY SURGERY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 E HERNDON AVE SUITE 103
FRESNO CA
93720-2989
US

IV. Provider business mailing address

568 E HERNDON AVE SUITE 201
FRESNO CA
93720-2989
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-0066
  • Fax:
Mailing address:
  • Phone: 559-228-6600
  • Fax: 559-226-3709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HARPREET DHINDSA
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 559-228-6600