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SANG MEDICAL CORP NPI 1003251687


NPI Information

NPI: 1003251687
Provider Name: SANG MEDICAL CORP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2047427

Address:
1122 S ST
FRESNO, CA
ZIP 93721
Phone: (559) 268-1737
Get Directions

SANG MEDICAL CORP is a pediatrics in Fresno, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SANG MEDICAL CORP NPI is 1003251687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1122 S ST
FRESNO, CA
ZIP 93721-430
Phone: (559) 268-1737
Fax: (559) 268-1738

The provider's authorized official is New Sang .
The authorized official title is Owner and has the following contact phone number (559) 268-1737.

The CLIA number assigned to this NPI record is 05D2047427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2013 and was last updated on 7/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA93522CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11578669511MEDICAIDCALIFORNIA
21154340586MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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