Provider profile · NPI 1093649741
Advanced Specialty Care
Internal Medicine, Cardiovascular Disease · Fresno, CA · NPI 1093649741 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jun 9, 2026
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6323 N FRESNO ST STE 105 | Fresno, CA 93710-5282 | 559-785-1310 |
| LOCATION | 6323 N FRESNO ST STE 105 | Fresno, CA 93710-5282 | 559-785-1310 |
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