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 |
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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 |
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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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