NPI
Greater Fresno Health Organization, Inc.
Doing business as Kings Winery Medical Clinic. Phone (559) 255-6476 · Fax (559) 255-7906 · NPI 1265521488
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-12
- Last updated
- 2024-04-29
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Specialties
Licenses
- License CA
- 04000036
Location
- Practice location
- 4929 E Kings Canyon Rd
- City
- Fresno CA
- Postal code
- 93727-3812
- Phone
- (559) 255-6476
- Fax
- (559) 255-7906
Organization contact
- Name
- Bla Mouanoutoua
- Title
- CEO
- Phone
- (559) 255-6476
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Exclusive Provider Organization providers in Fresno, CA. 11 with this primary taxonomy in the public file.
Other NPIs in Fresno, CA. 23,329 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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