| NPI | 1821014374 |
|---|---|
| Other Name | UCSF FRESNO MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PETERSON Associate Dean 559-227-4810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G75668) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA psy19509) |
| 103G00000X Clinical Neuropsychologist (Licence: CA psy20822) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G401330) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A7888) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-01-11 |