Healthcare Provider Details

I. General information

NPI: 1205464906
Provider Name (Legal Business Name): SVEN MEDICAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 03/29/2020
Certification Date: 03/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6246 N 1ST ST STE 101
FRESNO CA
93710-5480
US

IV. Provider business mailing address

1090 E KELSO AVE
FRESNO CA
93720-1849
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-1444
  • Fax:
Mailing address:
  • Phone: 559-431-6731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DZUNG TRINH
Title or Position: MANAGER
Credential: MD
Phone: 559-906-2962