Healthcare Provider Details

I. General information

NPI: 1073048591
Provider Name (Legal Business Name): UNIVERSAL HEALTH NETWORK AND SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6769 N FRESNO ST STE 201
FRESNO CA
93710
US

IV. Provider business mailing address

6769 N FRESNO ST STE 201
FRESNO CA
93710-3715
US

V. Phone/Fax

Practice location:
  • Phone: 559-440-1500
  • Fax:
Mailing address:
  • Phone: 559-440-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORINDA CASTRO
Title or Position: OFFICE MANAGER
Credential:
Phone: 559-440-1500