| Family Wellness Clinic, Inc | |
|
1817 Shaw Ave Ste 101 Clovis CA 93611-4069 | |
| (559) 360-9698 | |
| Not Available |
| Full Name | Family Wellness Clinic, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1817 Shaw Ave Ste 101, Clovis, California |
| Authorized Official Name and Position | San Gabriel (PRESIDENT) |
| Authorized Official Contact | 5593609698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Clinic, Inc 1817 Shaw Ave Ste 101 Clovis CA 93611-4069 Ph: (559) 940-6664 | Family Wellness Clinic, Inc 1817 Shaw Ave Ste 101 Clovis CA 93611-4069 Ph: (559) 360-9698 |
| NPI Number | 1013430982 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 08/11/2023 |
| Medicare PECOS PAC ID | 4587937792 |
|---|---|
| Medicare Enrollment ID | O20170911002259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013430982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | San Anwar F Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922025857 PECOS PAC ID: 2668576521 Enrollment ID: I20070402000700 |
| Provider Name | Andrew S Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669977740 PECOS PAC ID: 8820409584 Enrollment ID: I20210825003908 |
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