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NPI Code Detail

MEDICARE: JOSEPH ALIMASUYA M.D.

MEDICARE: JOSEPH ALIMASUYA M.D.
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
12084P0804XChild & Adolescent Psychiatry PhysicianA85633CA

General Provider Information

NPI Number : 1598768590
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ALIMASUYA M.D.
Provider Business Mailing Address
First Line : 6777 N WILLOW AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-5900
Country : US
Telephone Number : 559-681-2623
Fax Number : 888-730-7357
Provider Business Practice Location Address
First Line : 6777 N WILLOW AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-5900
Country : US
Telephone Number : 559-681-2623
Fax Number : 888-730-7357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/03/2021

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