ULTIMATE LIVING MEDICAL CLINIC PROF. CORP. NPI 1194746248

NPI Information

ULTIMATE LIVING MEDICAL CLINIC, PROF. CORP. is an adult medicine family medicine in Fresno, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ULTIMATE LIVING MEDICAL CLINIC, PROF. CORP. NPI is 1194746248. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1660 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720-359
Phone: (559) 435-8000
Fax: (559) 380-2879

The provider's authorized official is William Ralph Work .
The authorized official title is President and has the following contact phone number (559) 435-8000.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 10/16/2008.

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:

Other Identifiers

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