FRESNO WOMEN'S MEDICAL GROUP INC. NPI 1992710552

NPI Information

FRESNO WOMEN'S MEDICAL GROUP, INC. is a federally qualified health center (fqhc) clinic center in Clovis, CA. FRESNO WOMEN'S MEDICAL GROUP, INC. NPI is 1992710552. The provider is registered as an organization entity type.

The provider's business location address is:

726 N. MEDICAL CENTER DRIVE EAST
SUITE 221
CLOVIS, CA
ZIP 93611-886
Phone: (559) 322-2900
Fax: (559) 324-8793

The provider's authorized official is Sharon Monica Kopacz .
The authorized official title is Physician-sole Owner and has the following contact phone number (559) 322-2900.

The CLIA number assigned to this NPI record is 05D2130146 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/30/2006 and was last updated on 6/8/2023.

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

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

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.