| Spruce Multispeciatly Group | |
|
1275 E Spruce Ave Suite 101 Fresno CA 93720-3345 | |
| (559) 226-0848 | |
| (559) 248-9585 |
| Full Name | Spruce Multispeciatly Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 E Spruce Ave, Fresno, California |
| Authorized Official Name and Position | Barbara Cordova (OFFICE SUPERVISOR) |
| Authorized Official Contact | 5592260848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spruce Multispeciatly Group 1275 E Spruce Ave Suite 101 Fresno CA 93720-3345 Ph: (559) 226-0848 | Spruce Multispeciatly Group 1275 E Spruce Ave Suite 101 Fresno CA 93720-3345 Ph: (559) 226-0848 |
| NPI Number | 1346375136 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 09/21/2010 |
| Medicare PECOS PAC ID | 4082670419 |
|---|---|
| Medicare Enrollment ID | O20041207000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346375136 | NPI | - | NPPES |
| GR0099780 | Medicaid | CA |
| Provider Name | Dickran H Gulesserian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336287440 PECOS PAC ID: 7618945304 Enrollment ID: I20040921000332 |
| Provider Name | Michael W Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679612436 PECOS PAC ID: 7416913843 Enrollment ID: I20041208000599 |
| Provider Name | Kantam L Gade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659411205 PECOS PAC ID: 2961468392 Enrollment ID: I20041208000815 |
| Provider Name | Alan M Birnbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912937186 PECOS PAC ID: 5395754543 Enrollment ID: I20060417000243 |
| Provider Name | Swarnpal Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962580019 PECOS PAC ID: 4688735657 Enrollment ID: I20081209000541 |
| Provider Name | John D Abdulian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437114113 PECOS PAC ID: 6901820737 Enrollment ID: I20150807014143 |
| Provider Name | Esmeralda Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528652948 PECOS PAC ID: 4082015458 Enrollment ID: I20230224002103 |
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