Organization Name: | PARAYNO M D INC |
NPI Number: | 1558755181 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAXIMO ALANO PARAYNO (PRESIDENT/CEO) |
Mailing Address: | 1410 Kern St 102 Fresno |
State: | CA US |
Postal Code: | 937063322 |
Phone Number: | 5593745543 |
Fax Number: | 5593745546 |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A33871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |