Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Line Medical Corp

Organization Vascular Surgery Physician · NPI 1750015616

Blue Line Medical Corp provides Vascular Surgery Physician services in Clovis, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3120 Willow Ave Ste 101
Clovis, CA 93612-4714
Phone: (559) 370-8694
Fax: (626) 377-4221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1750015616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leo Fong — Owner/President · (559) 370-8694
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address1099 E. Champlain Drive, Suite A #186, Fresno, CA 93720

Other providers in Clovis