Healthcare Provider Details

I. General information

NPI: 1164348959
Provider Name (Legal Business Name): RAY FISHER SUPPLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6629 N BLACKSTONE AVE
FRESNO CA
93710-3503
US

IV. Provider business mailing address

6629 N BLACKSTONE AVE
FRESNO CA
93710-3503
US

V. Phone/Fax

Practice location:
  • Phone: 559-437-3800
  • Fax: 559-437-3838
Mailing address:
  • Phone: 559-437-3800
  • Fax: 559-437-3838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHOUA YANG
Title or Position: MANAGER
Credential:
Phone: 559-437-3800