| Ucsf Fresno Allied Medical Group | |
|
3313 N Hilliard St Fresno CA 93726-5854 | |
| (559) 227-4810 | |
| (559) 227-4167 |
| Full Name | Ucsf Fresno Allied Medical Group |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3313 N Hilliard St, Fresno, California |
| Authorized Official Name and Position | Joan Voris (ASSOICATE DEAN) |
| Authorized Official Contact | 5594996427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucsf Fresno Allied Medical Group Po Box 60000 File 740522 San Francisco CA 94160-0001 Ph: (559) 227-4810 | Ucsf Fresno Allied Medical Group 3313 N Hilliard St Fresno CA 93726-5854 Ph: (559) 227-4810 |
| NPI Number | 1487839932 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 05/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487839932 | NPI | - | NPPES |
| CK5696 | Other | CA | RAILROAD MEDICARE |
| ZZZ5296Y | Other | CA | BLUE OF CA |
| 9151935 | Other | CA | MEDI-CAL PIN |
| 2342434 | Medicaid | CA | |
| GPS001380 | Medicaid | CA | |
| GR0091021 | Medicaid | CA | |
| 1821014374 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY19509 (California) | Primary |
| 103G00000X | Clinical Neuropsychologist | 20822 (California) | Secondary |
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