Healthcare Provider Details

I. General information

NPI: 1801878350
Provider Name (Legal Business Name): UNITED HEALTH CENTERS OF THE SJV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S ZEDIKER AVE
PARLIER CA
93648-2639
US

IV. Provider business mailing address

PO BOX 790
PARLIER CA
93648-0790
US

V. Phone/Fax

Practice location:
  • Phone: 559-646-3561
  • Fax: 559-646-6915
Mailing address:
  • Phone: 559-646-3561
  • Fax: 559-646-6915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN H FLORES
Title or Position: CEO
Credential:
Phone: 559-646-6618