Provider Demographics
NPI:1740923572
Name:SAN JOAQUIN VALLEY HEALTH GROUP INC
Entity type:Organization
Organization Name:SAN JOAQUIN VALLEY HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:661-735-3041
Mailing Address - Street 1:6515 PANAMA LN STE 106-107
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-9726
Mailing Address - Country:US
Mailing Address - Phone:661-735-3041
Mailing Address - Fax:661-735-5692
Practice Address - Street 1:4420 COFFEE RD STE A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5022
Practice Address - Country:US
Practice Address - Phone:661-735-1185
Practice Address - Fax:661-679-4941
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN JOAQUIN VALLEY HEALTH GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care