Healthcare Provider Details

I. General information

NPI: 1992992481
Provider Name (Legal Business Name): DR. FRANCISCO SALCEDO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 TUOLUMNE ST
FRESNO CA
93721-1227
US

IV. Provider business mailing address

2650 TUOLUMNE ST
FRESNO CA
93721-1227
US

V. Phone/Fax

Practice location:
  • Phone: 559-266-0759
  • Fax: 559-266-5491
Mailing address:
  • Phone: 559-266-0759
  • Fax: 559-266-5491

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. FRANCISCO SALCEDO
Title or Position: OWNER
Credential: MD
Phone: 559-266-0759