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THE GOOD NEIGHBOR WALK IN CLINIC INC NPI 1669679189


NPI Information

NPI: 1669679189
Provider Name: THE GOOD NEIGHBOR WALK IN CLINIC, INC

Doing Business As: GOOD NEIGHBOR MEDICAL CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4844 N 1ST ST
SUITE 104
FRESNO, CA
ZIP 93726
Phone: (559) 221-9088
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THE GOOD NEIGHBOR WALK IN CLINIC, INC is a primary care clinic center in Fresno, CA. THE GOOD NEIGHBOR WALK IN CLINIC, INC NPI is 1669679189. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Good Neighbor Medical Clinic.

The provider's business location address is:

4844 N 1ST ST
SUITE 104
FRESNO, CA
ZIP 93726-529
Phone: (559) 221-9088
Fax: (559) 221-9087

The provider's authorized official is Than A Aw .
The authorized official title is Medical Director and has the following contact phone number (559) 221-9088.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 2/17/2015.


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
1171100000XAcupuncturistA53206CALIFORNIANo
2207RG0300XInternal MedicineGeriatric MedicineA53206CALIFORNIANo
3261QP2300XClinic/CenterPrimary CareRN505630-NP8370CALIFORNIANo
4261QP2300XClinic/CenterPrimary Care00A532060CALIFORNIAYes

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
1S49922MEDICARE UPINCALIFORNIA
2F90620MEDICARE UPINCALIFORNIA
3NP0083700MEDICAIDCALIFORNIA
400A532060MEDICAIDCALIFORNIA
500A532060MEDICARE PINCALIFORNIA
6ZZZ07012ZMEDICARE PINCALIFORNIA
7ZZZ07014ZMEDICARE PINCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.