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WOLF EPILEPSY CENTER NPI 1790951713


NPI Information

NPI: 1790951713
Provider Name: WOLF EPILEPSY CENTER
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
1189 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720
Phone: (559) 432-9300
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WOLF EPILEPSY CENTER is a neurology with special qualifications in child neurology psychiatry neurology in Fresno, CA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. WOLF EPILEPSY CENTER NPI is 1790951713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1189 E HERNDON AVE
SUITE 101
FRESNO, CA
ZIP 93720-167
Phone: (559) 432-9300
Fax: (559) 432-9301

The provider's authorized official is Paul S Wolf .
The authorized official title is President and has the following contact phone number (559) 432-9300.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyA91087CALIFORNIAYes

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
1H46823MEDICARE UPINCALIFORNIA

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

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