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PAUL SERGEI WOLF M.D. NPI 1720191729


NPI Information

NPI: 1720191729
Provider Name: PAUL SERGEI WOLF, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
1189 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720
Phone: (559) 434-5639
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Paul Sergei Wolf, M.D. is a neurology psychiatry neurology in Fresno, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Paul Sergei Wolf, M.D. NPI is 1720191729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1189 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720-167
Phone: (559) 434-5639

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/14/2007.


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
1208000000XPediatricsA91087CALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurologyA91087CALIFORNIAYes

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
100A910870MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2H46823MEDICARE UPIN
3MD 073534 LOTHERPENNSYLVANIAMEDICAL LICENSE

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.