Healthcare Provider Details

I. General information

NPI: 1780167684
Provider Name (Legal Business Name): KINGS VIEW CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 TOLLHOUSE RD STE G
CLOVIS CA
93611-0529
US

IV. Provider business mailing address

1521 TOLLHOUSE RD STE G
CLOVIS CA
93611-0529
US

V. Phone/Fax

Practice location:
  • Phone: 559-325-9174
  • Fax:
Mailing address:
  • Phone: 559-325-9174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BELINDA ESPINO
Title or Position: ADMINISTRATIVE MANAGER
Credential:
Phone: 559-256-7632