Sierra Functional Medical PC
Physical Medicine & Rehabilitation in Clovis, CA. Organization (NPI-2).
NPI number1255706289
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1255706289
- Entity type
- Organization (NPI-2)
- Legal business name
- Sierra Functional Medical PC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2015
- Last updated
- Jul 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2181 Herndon Ave Ste 103Clovis, CA 93611-6309
Phone 559-297-0030 · Fax 559-297-7888
Mailing address
2147 Herndon Ave Ste 104Clovis, CA 93611-6305
Phone 559-297-0030 · Fax 559-297-7888
Authorized official
Jose U Zamora
Owner
5592970030
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