| California State University Fresno Athletic Corporation | |
|
1620 E Bulldog Ln Fresno CA 93740-0001 | |
| (559) 278-4170 | |
| (559) 278-8355 |
| Full Name | California State University Fresno Athletic Corporation |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1620 E Bulldog Ln, Fresno, California |
| Authorized Official Name and Position | Betsy Mosher (DIRECTOR OF ATHLETICS) |
| Authorized Official Contact | 5592784905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California State University Fresno Athletic Corporation 1620 E Bulldog Ln Fresno CA 93740-0001 Ph: (559) 278-4170 | California State University Fresno Athletic Corporation 1620 E Bulldog Ln Fresno CA 93740-0001 Ph: (559) 278-4170 |
| NPI Number | 1205186061 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205186061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
Community Foundation Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7370 N Palm Ave Ste 101, Fresno, CA 93711 Phone: 559-228-5400 | |
Sequoia Community Health Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fresno St Ste 102, Fresno, CA 93706 Phone: 559-457-5700 Fax: 559-457-5790 | |
Fresno Healthcare Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Chestnut Ave Ste 102, Fresno, CA 93726 Phone: 559-456-1167 Fax: 559-456-1183 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6095 N 1st St, Fresno, CA 93710 Phone: 559-446-1515 Fax: 559-446-1273 | |
Harsh Saigal Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7130 N Sharon Ave Ste 101, Fresno, CA 93720 Phone: 559-436-8606 Fax: 559-436-8654 | |
Dominic Dizon, Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7035 N Maple Ave Ste 102b, Fresno, CA 93720 Phone: 559-299-2997 | |
United Health Centers Of The San Joaquin Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 Fulton St, Fresno, CA 93721 Phone: 800-492-4227 |