Healthcare Provider Details

I. General information

NPI: 1255292322
Provider Name (Legal Business Name): INTEGRATED WELLNESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 AVENUE 368
VISALIA CA
93291-8940
US

IV. Provider business mailing address

PO BOX 110
VISALIA CA
93279-0110
US

V. Phone/Fax

Practice location:
  • Phone: 559-735-1362
  • Fax:
Mailing address:
  • Phone: 559-735-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: HARJEET S BRAR
Title or Position: CEO
Credential:
Phone: 661-588-4001