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NPI Code Detail

MEDICARE: KINGS VIEW

MEDICARE: KINGS VIEW
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 Agency100026ANCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100026ANOTHERCASTATE ALCOHOL DRUG CERTIF

General Provider Information

NPI Number : 1912114349
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGS VIEW
Provider Business Mailing Address
First Line : 1410 F ST STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93706-1608
Country : US
Telephone Number : 559-457-2302
Fax Number :
Provider Business Practice Location Address
First Line : 1410 F ST STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93706-1608
Country : US
Telephone Number : 559-475-2302
Fax Number : 559-457-2324
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CANDIE JOY SMITH
Credential :
Telephone Number : 559-457-2302
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/20/2016

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Directions to “KINGS VIEW ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.