Healthcare Provider Details

I. General information

NPI: 1174842942
Provider Name (Legal Business Name): APNA HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 SHAW AVE # 100
CLOVIS CA
93611-4096
US

IV. Provider business mailing address

1555 SHAW AVE # 100
CLOVIS CA
93611-4096
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-7001
  • Fax: 559-324-7033
Mailing address:
  • Phone: 559-324-7001
  • Fax: 559-324-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GURDAVER SINGH DHALIWAL
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 559-246-3670