| Gastroenterology And Liver Disease Medical Center Inc | |
|
7215 N Fresno St #101 Fresno CA 93720-2969 | |
| (559) 449-0309 | |
| (559) 449-0609 |
| Full Name | Gastroenterology And Liver Disease Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7215 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Audra E Orbaker (ADMINISTRATOR) |
| Authorized Official Contact | 5597609981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology And Liver Disease Medical Center Inc 7215 N Fresno St #101 Fresno CA 93720-2969 Ph: (559) 449-0309 | Gastroenterology And Liver Disease Medical Center Inc 7215 N Fresno St #101 Fresno CA 93720-2969 Ph: (559) 449-0309 |
| NPI Number | 1780631127 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 2163684044 |
|---|---|
| Medicare Enrollment ID | O20120510000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780631127 | NPI | - | NPPES |
| ZZZH1024Z | Other | CA | BLUE SHIELD |
| SUR01593F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AS1593001 (California) | Primary |
| Provider Name | Ram Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306893516 PECOS PAC ID: 8022085950 Enrollment ID: I20040910001179 |
Jason Stutzman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 E Dakota Ave, Fresno, CA 93726 Phone: 559-459-1615 | |
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 | |
Abby Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 N Abby St, Fresno, CA 93701 Phone: 559-455-1500 Fax: 559-253-1302 | |
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 |