| Central Valley Wound Care Medical Group Inc | |
|
5100 N 6th St # 159 Fresno CA 93710-7514 | |
| (559) 290-7088 | |
| (805) 855-4540 |
| Full Name | Central Valley Wound Care Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5100 N 6th St # 159, Fresno, California |
| Authorized Official Name and Position | Ara Soghomonian (PRESIDENT) |
| Authorized Official Contact | 5592907088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Wound Care Medical Group Inc 5100 N 6th St # 159 Fresno CA 93710-7514 Ph: (559) 290-7088 | Central Valley Wound Care Medical Group Inc 5100 N 6th St # 159 Fresno CA 93710-7514 Ph: (559) 290-7088 |
| NPI Number | 1740068600 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Medicare PECOS PAC ID | 6800243999 |
|---|---|
| Medicare Enrollment ID | O20231110002186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740068600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ara K Soghomonian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447366018 PECOS PAC ID: 7315006517 Enrollment ID: I20081103000459 |
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