| Wellness Hydration Center A Medical Corporation | |
|
3727 N 1st St Ste 106 Fresno CA 93726-5628 | |
| (559) 890-6111 | |
| Not Available |
| Full Name | Wellness Hydration Center A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3727 N 1st St Ste 106, Fresno, California |
| Authorized Official Name and Position | Yeu Melissa Lo (FOUNDER) |
| Authorized Official Contact | 5598906111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Hydration Center A Medical Corporation 3727 N 1st St Ste 106 Fresno CA 93726-5628 Ph: (559) 890-6111 | Wellness Hydration Center A Medical Corporation 3727 N 1st St Ste 106 Fresno CA 93726-5628 Ph: (559) 890-6111 |
| NPI Number | 1811605173 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 7315312584 |
|---|---|
| Medicare Enrollment ID | O20230331002566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811605173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gurmander S Kohli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225066962 PECOS PAC ID: 7113934886 Enrollment ID: I20060321000655 |
| Provider Name | Yeu M Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083293641 PECOS PAC ID: 3173917564 Enrollment ID: I20220301001195 |
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