| King Of Kings Outpatient And Perinatal Services Program | |
|
2302 S Martin L King Jr Blvd Fresno CA 93706-4135 | |
| (559) 442-0400 | |
| Not Available |
| Full Name | King Of Kings Outpatient And Perinatal Services Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2302 S Martin L King Jr Blvd, Fresno, California |
| Authorized Official Name and Position | Donald Walker (INTERIM EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5592666449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Of Kings Outpatient And Perinatal Services Program 2302 S Martin L King Jr Blvd Fresno CA 93706-4135 Ph: (559) 442-0400 | King Of Kings Outpatient And Perinatal Services Program 2302 S Martin L King Jr Blvd Fresno CA 93706-4135 Ph: (559) 442-0400 |
| NPI Number | 1457898330 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457898330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100024BN (California) | Primary |
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