Healthcare Provider Details
I. General information
NPI: 1154970382
Provider Name (Legal Business Name): A PLUS URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2019
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1735 VILLA AVE STE 101
CLOVIS CA
93612-2443
US
IV. Provider business mailing address
1735 VILLA AVE STE 101
CLOVIS CA
93612-2443
US
V. Phone/Fax
- Phone: 559-765-4288
- Fax: 559-765-4892
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MAY KOU
HEU
Title or Position: CEO
Credential: MD
Phone: 559-765-4288