Healthcare Provider Details
I. General information
NPI: 1366723488
Provider Name (Legal Business Name): VALLEY NATURAL HEALTH, A NATUROPATHIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2011
Last Update Date: 08/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1191 E HERNDON AVE SUITE 102
FRESNO CA
93720-3164
US
IV. Provider business mailing address
1191 E HERNDON AVE SUITE 102
FRESNO CA
93720-3164
US
V. Phone/Fax
- Phone: 559-389-0622
- Fax: 559-389-0763
- Phone: 559-389-0622
- Fax: 559-389-0763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SONAL
PATEL
Title or Position: PROVIDER
Credential:
Phone: 559-389-0622