WELLNESS HYDRATION CENTER A MEDICAL CORPORATION NPI 1811605173

NPI Information

  • NPI: 1811605173
  • Provider Name: WELLNESS HYDRATION CENTER A MEDICAL CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D2290654
  • Address: 3727 N 1ST ST STE 106
    FRESNO, CA
    ZIP 93726
  • Phone: (559) 890-6111

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NPI Details

WELLNESS HYDRATION CENTER A MEDICAL CORPORATION is a family medicine in Fresno, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WELLNESS HYDRATION CENTER A MEDICAL CORPORATION NPI is 1811605173. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3727 N 1ST ST STE 106
FRESNO, CA
ZIP 93726-628
Phone: (559) 890-6111

The provider's authorized official is Yeu Melissa Lo .
The authorized official title is Founder and has the following contact phone number (559) 890-6111.

The CLIA number assigned to this NPI record is 05D2290654 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2022 and was last updated on 1/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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