Provider Demographics
NPI:1619519246
Name:ERICK MADRIGAL, MD, MBA, INC.
Entity Type:Organization
Organization Name:ERICK MADRIGAL, MD, MBA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-784-5483
Mailing Address - Street 1:222 W HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1731
Mailing Address - Country:US
Mailing Address - Phone:559-784-5483
Mailing Address - Fax:559-784-5433
Practice Address - Street 1:833 SEQUOIA AVE
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247-1424
Practice Address - Country:US
Practice Address - Phone:559-562-1361
Practice Address - Fax:559-784-5433
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERICK MADRIGAL MD MBA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-15
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty