Provider Information

Last Updated : Aug 14 2024 4:02 PM

Apai Polyudhapoom




City
Fresno
Group
LASALLE - NORTH MARKS MEDICAL CLINIC
Specialty
General Practice
Last Name
Polyudhapoom
First Name
Apai
Address
4011 N. Marks Ave.
State
CA
Zip Code
93722
Phone
(559)860-4925
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Physician ID
MC00000365
Language 1
Thai
Extender 1 Last Name
Moua
Extender 1 First Name
Vang
Extender 1 Middle Name
V
Extender 1 License Type
P.A.
Section Number
1
County
FRESNO
Accepting New Patient
Yes
PPG NAME
LASALLE MEDICAL ASSOCIATES
Clinic Service Type
FQHC
PPG ID
MFRW3
NPI Number
1093885915
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
License ID
A048979
Board Certified
No
Office Language
Hmong (White)
Office Language 2
Spanish
Self Access Flag
Facility Site Database
PHY CCT IND
Y

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