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
Fax: (559) 493-5028
Website:
Authorized official contact:
Name: Mariano, Hipolito Gallardo Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144451659 NPPES
California MEDICAID 00A889030

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