Provider Demographics
NPI:1639603897
Name:SAN JOAQUIN VALLEY HEALTH GROUP INC
Entity Type:Organization
Organization Name:SAN JOAQUIN VALLEY HEALTH GROUP INC
Other - Org Name:1ST CHOICE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YADWINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-892-0646
Mailing Address - Street 1:6515 PANAMA LANE SUITE 106-107
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9729
Mailing Address - Country:US
Mailing Address - Phone:661-634-0955
Mailing Address - Fax:661-634-9662
Practice Address - Street 1:6515 PANAMA LANE SUITE 106-107
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9729
Practice Address - Country:US
Practice Address - Phone:661-634-0955
Practice Address - Fax:661-634-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care