Provider profile · NPI 1730558305
Advanced Specialty Care
Internal Medicine, Cardiovascular Disease · Fresno, CA · NPI 1730558305 · 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
Sep 24, 2015
License(s)
a77166 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1681 E BANWELL LN | Fresno, CA 93730-3595 | |
| LOCATION | 1681 E. BANWELL LANE | Fresno, CA 93730 | 559-696-1051 |
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