Healthcare Provider Details

I. General information

NPI: 1659549277
Provider Name (Legal Business Name): HEU MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2008
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 VILLA AVE STE 102
CLOVIS CA
93612-2443
US

IV. Provider business mailing address

1735 VILLA AVE STE 102
CLOVIS CA
93612-2443
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-3953
  • Fax: 559-261-2610
Mailing address:
  • Phone: 559-353-3953
  • Fax: 559-261-2610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PA HEU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 559-618-0686