Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2025-04-10
- Last updated
- 2025-12-05
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 516 VILLA AVE STE 2
- City
- CLOVIS CA
- Postal code
- 936120899
- Phone
- 559-760-0948
Organization contact
- Name
- LESLIE WENGER
- Title
- CFO
- Phone
- 5597604223
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.