Healthcare Provider Details

I. General information

NPI: 1639883382
Provider Name (Legal Business Name): VALLEY OSTEOPATHIC HOLISTIC HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5339 N FRESNO ST STE 107D
FRESNO CA
93710-6851
US

IV. Provider business mailing address

2135 E VERMONT AVE
FRESNO CA
93720-3920
US

V. Phone/Fax

Practice location:
  • Phone: 559-825-1112
  • Fax: 559-203-7550
Mailing address:
  • Phone: 617-838-8348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIHO YOSHIDA
Title or Position: PRESIDENT
Credential: DO
Phone: 617-838-8348