Provider Demographics
NPI:1043689805
Name:FRESNO BEST HEALTHCARE INC
Entity Type:Organization
Organization Name:FRESNO BEST HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WARNER
Authorized Official - Middle Name:E
Authorized Official - Last Name:CLARENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-230-1485
Mailing Address - Street 1:4420 N 1ST ST STE 121
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-2328
Mailing Address - Country:US
Mailing Address - Phone:559-230-1485
Mailing Address - Fax:229-230-1502
Practice Address - Street 1:4420 N 1ST ST STE 121
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-2328
Practice Address - Country:US
Practice Address - Phone:559-230-1485
Practice Address - Fax:229-230-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG62334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1396172110Other1396172110