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General NPI Number Information
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NPI Number | 1366807760
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Entity Type | Organization
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Legal Business Name | MEDZED PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1318 E SHAW AVE STE 300
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City | FRESNO
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State | CA
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Zip | 93710-7912
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Country | US
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Telephone | 323-203-0070
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Fax | 323-673-5717
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 7665
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 323-203-0070
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Fax | 323-673-5717
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON CHIRICHIGNO
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Credential |
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Telephone | 917-374-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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