Basic Information
Provider Information
NPI: 1013169986
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAMBULO
FirstName: MARIA
MiddleName: FLORDELIZ
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4910 E CLINTON WAY
Address2: SUITE 101
City: FRESNO
State: CA
PostalCode: 937271560
CountryCode: US
TelephoneNumber: 5594432682
FaxNumber: 5594432681
Practice Location
Address1: 2823 FRESNO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937211324
CountryCode: US
TelephoneNumber: 5594996484
FaxNumber: 5594996501
Other Information
ProviderEnumerationDate: 10/22/2008
LastUpdateDate: 12/03/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XA112913CAY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XA112913CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home