Organization · Type 2 NPI

Ultimate Living Medical Clinic, Prof. Corp.

Adult Medicine Physician · Fresno, CA

NPI number 1194746248 Active

Practice location

1660 E Herndon Ave, Suite 101
Fresno, CA 93720-3359

Fax (559) 380-2879

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA66593 (CA)
Pain Medicine Physician 208VP0000XA66593 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

12 other providers at this address

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About NPI 1194746248

Ultimate Living Medical Clinic, Prof. Corp.'s National Provider Identifier is 1194746248, issued on Jul 22, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Fresno, CA. The record was last updated on Oct 16, 2008.