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BLUE LINE MEDICAL CORP
NPI 1750015616
Surgery - Vascular Surgery in Clovis, CA

Active since July 14, 2022
3120 WILLOW AVE STE 101, CLOVIS, CA 93612(559) 370-8694(626) 377-4221 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Line Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE LINE MEDICAL CORP (NPI 1750015616) is a healthcare organization registered as a vascular surgery in Clovis, California and active in the NPI registry since July 2022. The organization lists Leo L Fong, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1750015616
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameBLUE LINE MEDICAL CORP
Location Address3120 WILLOW AVE STE 101Clovis, CA 93612-4714
Mailing Address1099 E. Champlain Drive, Suite A #186Fresno, CA 93720 · (559) 370-8694 · Fax (626) 377-4221
Phone(559) 370-8694
Fax(626) 377-4221
Organization SubpartNo
Authorized OfficialLeo L FongOwner/president · (559) 370-8694
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 14, 2022
✔ NPI 1750015616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

3120 WILLOW AVE STE 101, Clovis, CA 93612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEO L. FONG MD
Surgery (Vascular Surgery)
3120 WILLOW AVE STE 101
CLOVIS, CA 93612
Fresno County (559) 721-4910

Frequently Asked Questions

What is BLUE LINE MEDICAL CORP's NPI number?

The NPI number assigned to this healthcare provider is 1750015616, enumerated as an "organization" on July 14, 2022.

Where is the provider located?

The provider is located at 3120 WILLOW AVE STE 101 CLOVIS, CA 93612 and the phone number is (559) 370-8694.

What is the provider's specialty?

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.