Healthcare Provider Details

I. General information

NPI: 1194996819
Provider Name (Legal Business Name): ONSY SAID MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2008
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N HALL ST STE E
VISALIA CA
93291-5850
US

IV. Provider business mailing address

107 N HALL ST STE E
VISALIA CA
93291-5850
US

V. Phone/Fax

Practice location:
  • Phone: 559-734-6701
  • Fax: 559-732-3211
Mailing address:
  • Phone: 559-734-6701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberA49849
License Number StateCA

VIII. Authorized Official

Name: ONSY I SAID
Title or Position: OWNER
Credential: MD
Phone: 559-734-6701