Provider Demographics
NPI:1568685386
Name:VIRENDER S. KALEKA, M.D.
Entity Type:Organization
Organization Name:VIRENDER S. KALEKA, M.D.
Other - Org Name:OROSI RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-897-5399
Mailing Address - Street 1:2057 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:CA
Mailing Address - Zip Code:93662-3512
Mailing Address - Country:US
Mailing Address - Phone:559-897-5399
Mailing Address - Fax:559-897-5399
Practice Address - Street 1:12572 AVENUE 416
Practice Address - Street 2:SUITE B
Practice Address - City:OROSI
Practice Address - State:CA
Practice Address - Zip Code:93647-2067
Practice Address - Country:US
Practice Address - Phone:559-528-4779
Practice Address - Fax:559-528-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43546261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM53935FMedicaid
CAE08463Medicare UPIN
CA553935Medicare ID - Type UnspecifiedPROVIDER NUMBER