California State University Fresno Athletic Corporation

LBN: California State University Fresno Athletic Corporation
California State University Fresno Athletic Corporation is an health care organization with primary practice located at 1620 E Bulldog Ln , Fresno CA 93740-0001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. California State University Fresno Athletic Corporation can be contacted via phone (559) 278-4170, or through Mosher, Betsy via phone (559) 278-4905.

Contact Information

Primary practice address
1620 E Bulldog Ln Fresno CA 93740-0001
Phone: (559) 278-4170
Fax: (559) 278-8355
Website:
Map and Directions
Authorized official contact:
Name: Mosher, Betsy
Phone: (559) 278-4905

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1205186061
LBN Legal business name California State University Fresno Athletic Corporation
DBA Doing business as
Authorized official Mosher, Betsy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Sep 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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