Healthcare Provider Details

I. General information

NPI: 1477809580
Provider Name (Legal Business Name): BRIGHT PEDIATRICS & ECHOCARDIOGRAPHY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1922 S COURT ST
VISALIA CA
93277-5426
US

IV. Provider business mailing address

1922 S COURT ST
VISALIA CA
93277-5426
US

V. Phone/Fax

Practice location:
  • Phone: 559-625-0888
  • Fax: 559-625-0688
Mailing address:
  • Phone: 559-625-0888
  • Fax: 559-625-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA89633
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License NumberA89633
License Number StateCA

VIII. Authorized Official

Name: HUIYING GU
Title or Position: CEO
Credential: MD
Phone: 559-625-0888