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NPI Code Detail

MEDICARE: FRESNO CENTER FOR NEW AMERICANS

MEDICARE: FRESNO CENTER FOR NEW AMERICANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency21559CA

General Provider Information

NPI Number : 1578708582
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESNO CENTER FOR NEW AMERICANS
Provider Business Mailing Address
First Line : 4879 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number : 559-255-1656
Provider Business Practice Location Address
First Line : 4879 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number : 559-255-1656
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. LUE N YANG
Credential :
Telephone Number : 559-255-8395
Provider Enumeration Date : 12/04/2008
Last Update Date : 12/04/2008

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Directions to “FRESNO CENTER FOR NEW AMERICANS ” Practice Location

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