Provider Demographics
NPI:1619121043
Name:MASON-BOSCH PARTNERS
Entity Type:Organization
Organization Name:MASON-BOSCH PARTNERS
Other - Org Name:CENTRAL VALLEY WOMEN'S HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-450-7277
Mailing Address - Street 1:1105 E SPRUCE AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3313
Mailing Address - Country:US
Mailing Address - Phone:559-450-7272
Mailing Address - Fax:559-450-7276
Practice Address - Street 1:1105 E SPRUCE AVE STE 203
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3313
Practice Address - Country:US
Practice Address - Phone:559-450-7272
Practice Address - Fax:559-450-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty