| Jkw Healthcare | |
|
2845 E Goshen Ave Clovis CA 93720-0528 | |
| (615) 423-9545 | |
| Not Available |
| Full Name | Jkw Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 2845 E Goshen Ave, Clovis, California |
| Authorized Official Name and Position | Jiakun Wang (PRESIDENT) |
| Authorized Official Contact | 6154239545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jkw Healthcare 2845 E Goshen Ave Fresno CA 93720-0528 Ph: () - | Jkw Healthcare 2845 E Goshen Ave Clovis CA 93720-0528 Ph: (615) 423-9545 |
| NPI Number | 1740905322 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 1557730702 |
|---|---|
| Medicare Enrollment ID | O20221209000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740905322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Albert C Mu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205001559 PECOS PAC ID: 7810168317 Enrollment ID: I20110913000613 |
| Provider Name | Jiakun Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177627 PECOS PAC ID: 3476611245 Enrollment ID: I20160810002692 |
| Provider Name | Kauly Cha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952866568 PECOS PAC ID: 9133457146 Enrollment ID: I20190828001731 |
| Provider Name | Gagandeep K Khara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416480 PECOS PAC ID: 1456787225 Enrollment ID: I20200214001782 |
| Provider Name | Harjeet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053035592 PECOS PAC ID: 9234508995 Enrollment ID: I20221220001204 |
| Provider Name | Parminder Kaur Jandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710663562 PECOS PAC ID: 8628422409 Enrollment ID: I20230927003011 |
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