| Diego G Allende A Medical Corporation | |
|
6234 N 1st St Fresno CA 93710-5446 | |
| (559) 435-5727 | |
| (559) 435-5503 |
| Full Name | Diego G Allende A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 6234 N 1st St, Fresno, California |
| Authorized Official Name and Position | Diego G. Allende (OWNER) |
| Authorized Official Contact | 5594355727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diego G Allende A Medical Corporation 6234 N 1st St Fresno CA 93710-5446 Ph: (559) 435-5727 | Diego G Allende A Medical Corporation 6234 N 1st St Fresno CA 93710-5446 Ph: (559) 435-5727 |
| NPI Number | 1033266184 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 11/30/2017 |
| Medicare PECOS PAC ID | 5496733594 |
|---|---|
| Medicare Enrollment ID | O20040713001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033266184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A7611 (California) | Secondary |
| Provider Name | Diego G Allende |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568789097 PECOS PAC ID: 8921086026 Enrollment ID: I20050406001007 |
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