Healthcare Provider Details

I. General information

NPI: 1316804388
Provider Name (Legal Business Name): VALLEY ALLERGY ASTHMA AND ECZEMA CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

684 N MEDICAL CENTER DR E STE 105
CLOVIS CA
93611
US

IV. Provider business mailing address

684 N MEDICAL CENTER DR E STE 105
CLOVIS CA
93611
US

V. Phone/Fax

Practice location:
  • Phone: 559-472-9716
  • Fax: 559-472-9872
Mailing address:
  • Phone: 559-472-9716
  • Fax: 559-472-9872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAHANA VISHWANATH
Title or Position: PRESIDENT
Credential: MD
Phone: 559-472-9716