Fresno Family Medical Clinic
LBN: Hipolito G. Mariano, Jr., Md, Inc.
Fresno Family Medical Clinic is an health care organization with primary practice located at 3121 E Olive Ave , Fresno CA 93702-1030. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Hipolito G. Mariano, Jr., Md, Inc. can be contacted via phone (559) 412-4927, or through Mariano, Hipolito Gallardo via phone (559) 412-4927.
Contact Information
Primary practice address
3121 E Olive Ave
Fresno CA 93702-1030
Phone: (559) 412-4927
Fax: (559) 493-5028
Website:
Authorized official contact:
Name: Mariano, Hipolito Gallardo Doctor of Medicine (MD)
Phone: (559) 412-4927
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | A88903 | California |
Profile Details
NPI number | 1144451659 |
---|---|
LBN Legal business name | Hipolito G. Mariano, Jr., Md, Inc. |
DBA Doing business as | Fresno Family Medical Clinic |
Authorized official | Mariano, Hipolito Gallardo Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 31st, 2009 |
Last updated | Apr 18th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144451659 | NPPES |
California | MEDICAID | 00A889030 |
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