NPI 1154656254

Greater Fresno Health Orgnization, INC.

Organisation Exclusive Provider Organization Fresno, CA

Practice location

Address: 4929 E Kings Canyon Rd, Fresno, CA 93727-3812
Phone: (559) 255-6476
Fax: (559) 255-7906

Authorised official

Name: Bla Mouanoutoua
Title: Ceo
Phone: (559) 255-6476

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 040000336 (CA)

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Registry record

NPI: 1154656254
Entity type: Organization
NPI issued: 7 Oct 2009
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.