Basic Information
Provider Information
NPI: 1255405155
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GU
FirstName: HUIYING
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 305 E CENTER AVE
Address2: 192 SOUTH COURT ST.
City: VISALIA
State: CA
PostalCode: 932916331
CountryCode: US
TelephoneNumber: 5596250888
FaxNumber: 5596250688
Practice Location
Address1: 501 N BRIDGE ST
Address2:  
City: VISALIA
State: CA
PostalCode: 932915014
CountryCode: US
TelephoneNumber: 5597341939
FaxNumber: 5596240841
Other Information
ProviderEnumerationDate: 11/20/2006
LastUpdateDate: 02/20/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA89633CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home