Ultimate Living Medical Clinic, Prof. Corp. in Fresno - Adult Medicine
Ultimate Living Medical Clinic, Prof. Corp. - NPI 1194746248
Ultimate Living Medical Clinic, Prof. Corp. is a Adult Medicine in Fresno, California. Ultimate Living Medical Clinic, Prof. Corp. practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Ultimate Living Medical Clinic, Prof. Corp. is 1194746248. The last update date is 2008-10-16.
Ultimate Living Medical Clinic, Prof. Corp.'s current location address is 1660 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5594358000 and fax number 5593802879. The mailing address for Ultimate Living Medical Clinic, Prof. Corp. is 1660 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ultimate Living Medical Clinic, Prof. Corp. |
|---|---|
| Address | 1660 E Herndon Ave, Fresno, California |
| Phone Number | 5594358000 |
| Fax Number | 5593802879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Work Ralph William |
| Credentials | M.D. |
| Telephone Number | 5594358000 |
NPI Number Detail
| NPI Number | 1194746248 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 1660 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203359 |
| Phone Number | 5594358000 |
| Fax Number | 5593802879 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | A66593 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique 10-digit identification code assigned to Ultimate Living Medical Clinic, Prof. Corp. by the Centers for Medicare & Medicaid Services?
The Ultimate Living Medical Clinic, Prof. Corp. has been issued the NPI (National Provider Identifier) 1194746248, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ultimate Living Medical Clinic, Prof. Corp. is geographically located?
The Ultimate Living Medical Clinic, Prof. Corp. is physically situated at the following location: 1660 E Herndon Ave, Fresno, CA, 937203359.
What is Ultimate Living Medical Clinic, Prof. Corp.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Ultimate Living Medical Clinic, Prof. Corp.'s area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did the Ultimate Living Medical Clinic, Prof. Corp. receive its 1194746248 assignment from the Centers for Medicare & Medicaid Services?
The Ultimate Living Medical Clinic, Prof. Corp. was assigned its 1194746248 by the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details related to Ultimate Living Medical Clinic, Prof. Corp. most recently updated or revised?
The information pertaining to Ultimate Living Medical Clinic, Prof. Corp., including its address, specialty, and other relevant details, was last updated or revised on 2008-10-16.