| Sierra View Family Clinic Inc | |
|
1237 Rose Ave Selma CA 93662-3227 | |
| (559) 898-0935 | |
| (559) 898-0939 |
| Full Name | Sierra View Family Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1237 Rose Ave, Selma, California |
| Authorized Official Name and Position | Humberto Jesus Villalvazo (PRESIDENT MD) |
| Authorized Official Contact | 5598980935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra View Family Clinic Inc Po Box 450 Hanford CA 93232-0450 Ph: (559) 898-0935 | Sierra View Family Clinic Inc 1237 Rose Ave Selma CA 93662-3227 Ph: (559) 898-0935 |
| NPI Number | 1073764254 |
|---|---|
| Provider Enumeration Date | 10/06/2008 |
| Last Update Date | 05/09/2016 |
| Medicare PECOS PAC ID | 3779644737 |
|---|---|
| Medicare Enrollment ID | O20081209000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073764254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89926 (California) | Primary |
| Provider Name | Humberto J Villalvazo-camacho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902994551 PECOS PAC ID: 4385662808 Enrollment ID: I20051103000380 |
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