Healthcare Provider Details
I. General information
NPI: 1487988457
Provider Name (Legal Business Name): HANFORD MEDICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2009
Last Update Date: 12/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 MALL DR STE 305
HANFORD CA
93230-5794
US
IV. Provider business mailing address
PO BOX 417 125 MALL DRIVE SUITE 305
HANFORD CA
93232-0417
US
V. Phone/Fax
- Phone: 559-537-0440
- Fax: 559-537-0442
- Phone: 559-537-0440
- Fax: 559-537-0442
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAQIB
RASHID
Title or Position: PRESIDENT
Credential: MD
Phone: 559-816-3754