Doctor Name: | DR. CARLOS MANUEL JUAREZ |
NPI Number: | 1285664243 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G73601 |
Business Practice Address: | 1099 E Champlain Dr Ste A Pmb 249 Fresno, CA - 937205030 |
Business Phone Number: | 5594323434 |
Business Fax Number: | |
Mailing Address: | 1381 E Herndon Ave, Suite 104 FRESNO |
State: | CA |
Postal Code: | 937203307 |
Phone Number: | 5594323434 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G73601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |