Healthcare Provider Details

I. General information

NPI: 1891954509
Provider Name (Legal Business Name): SWARNPAL SINGH SEKHON MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 N 1ST ST SUITE 125
FRESNO CA
93710-3900
US

IV. Provider business mailing address

6700 N 1ST ST SUITE 125
FRESNO CA
93710-3900
US

V. Phone/Fax

Practice location:
  • Phone: 559-577-0040
  • Fax: 559-440-1844
Mailing address:
  • Phone: 559-577-0040
  • Fax: 559-440-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA79525
License Number StateCA

VIII. Authorized Official

Name: DR. SWARNPAL SINGH SEKHON
Title or Position: CEO
Credential: MD
Phone: 559-577-0040