Provider Demographics
NPI:1851925192
Name:ONE ON ONE MEDICAL CARE
Entity Type:Organization
Organization Name:ONE ON ONE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTOVNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-612-1720
Mailing Address - Street 1:5468 W ATHENS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2100
Mailing Address - Country:US
Mailing Address - Phone:559-612-1720
Mailing Address - Fax:559-775-1383
Practice Address - Street 1:5468 W ATHENS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2100
Practice Address - Country:US
Practice Address - Phone:559-612-1720
Practice Address - Fax:559-775-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty