Professional Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PROFESSIONAL MEDICAL CORPORATION

Practice address

1642 E Herndon Ave Ste 104
Fresno, CA 93720-3377

Phone

(559) 838-0500

Fax

(559) 405-5815

NPI assigned

Oct 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Cliff

Title

Office Manager

Phone

(559) 838-0500

Specialties & licenses 1

Addresses

Other names 1

• Kiss Me Med Spa Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1770059552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-838-0500",
            "fax_number": "559-405-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-838-0500",
            "fax_number": "559-405-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "CLIFF",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-838-0500"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiss Me Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prodigy Healthcare Inc.
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• Nicholas Costas Proen, P.T., D.P.T.
• Professional Health Care Inc
• Professional Healthcare Group Inc
• Prohealth Home Care Inc
• Project 14:14 Inc.
• Project 14:14 Inc.
• Evgenia Prokopenko, PHARM.D.
• Promenade Care Center LLC

• Dermatology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.