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General NPI Number Information
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NPI Number | 1316804388
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Entity Type | Organization
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Legal Business Name | VALLEY ALLERGY ASTHMA AND ECZEMA CARE INC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 684 N MEDICAL CENTER DR E STE 105
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-472-9716
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Fax | 559-472-9872
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Provider Business Mailing Address
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Address Line | 684 N MEDICAL CENTER DR E STE 105
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-472-9716
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Fax | 559-472-9872
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAHANA VISHWANATH
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Credential | MD
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Telephone | 559-472-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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