Healthcare Provider Details

I. General information

NPI: 1265293971
Provider Name (Legal Business Name): FAMILY PLANNING ASSOCIATES MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 N CHERRY ST
TULARE CA
93274-2251
US

IV. Provider business mailing address

1068 N CHERRY ST
TULARE CA
93274-2251
US

V. Phone/Fax

Practice location:
  • Phone: 559-233-0990
  • Fax: 909-494-7853
Mailing address:
  • Phone: 559-233-0990
  • Fax: 909-494-7853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: IRVING M. FELDKAMP IV
Title or Position: PRESIDENT
Credential:
Phone: 909-382-0201