Healthcare Provider Details

I. General information

NPI: 1326595331
Provider Name (Legal Business Name): IRENE HUIZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N K ST
TULARE CA
93274-4005
US

IV. Provider business mailing address

201 N K ST
TULARE CA
93274-4005
US

V. Phone/Fax

Practice location:
  • Phone: 559-687-0929
  • Fax: 559-685-8953
Mailing address:
  • Phone: 559-687-0929
  • Fax: 559-685-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: