FRESNO CA ENDOSCOPY ASC, LP
Surgery Yellow Pages
Fresno, California
Provider NPI: 1508869645
Organization Information:Organization Name: FRESNO CA ENDOSCOPY ASC, LP
Practice Location:
7055 N FRESNO ST SUITE 100 FRESNO, CA 93720 US
Tel: 559-440-9100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7055 N FRESNO ST SUITE 100 FRESNO, CA 93720 US
Tel: 559-440-9100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | CA | 040000525 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
SUR01536F | CA | 05 | |
BLUE CROSS | AS1536 | CA | 01 |
BLUE SHIELD | ZZZH1020Z | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin