<Unavail>

LBN: Edwyn W Ortiz-Nance
<Unavail> is an health care organization with primary practice located at 2060 N Winery Ave #102, Fresno CA 93703-4816. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Edwyn W Ortiz-Nance can be contacted via phone (559) 252-6353, or through Ortiz-Nance, Edwyn W via phone (559) 252-6353.

Contact Information

Primary practice address
2060 N Winery Ave #102 Fresno CA 93703-4816
Phone: (559) 252-6353
Fax: (559) 252-7964
Website:
Map and Directions
Authorized official contact:
Name: Ortiz-Nance, Edwyn W PSYD
Phone: (559) 252-6353

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1942592621
LBN Legal business name Edwyn W Ortiz-Nance
DBA Doing business as <Unavail>
Authorized official Ortiz-Nance, Edwyn W PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2011
Last updated Nov 29th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942592621 NPPES
California Other 1467625368 SYNCHRONY OF VISALIA, INC.

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