| George K.f.siu Md Inc. | |
|
6181 N Thesta St #102 Fresno CA 93710-8604 | |
| (559) 435-1903 | |
| (559) 435-3911 |
| Full Name | George K.f.siu Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 6181 N Thesta St, Fresno, California |
| Authorized Official Name and Position | George K.f. Siu (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5594351903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George K.f.siu Md Inc. 6181 N Thesta St #102 Fresno CA 93710-8604 Ph: (559) 435-1903 | George K.f.siu Md Inc. 6181 N Thesta St #102 Fresno CA 93710-8604 Ph: (559) 435-1903 |
| NPI Number | 1427349455 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 05/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427349455 | NPI | - | NPPES |
| 00G270800 | Other | LICENCE # CA | |
| 00G270800 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G27080 (California) | Primary |
| 261Q00000X | Clinic/center | G27080 (California) | Secondary |
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