Basic Information
| Provider Information | |||||||||
| NPI: | 1477809580 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BRIGHT PEDIATRICS & ECHOCARDIOGRAPHY INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1922 S COURT ST | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932775426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596250888 | ||||||||
| FaxNumber: | 5596250688 | ||||||||
| Practice Location | |||||||||
| Address1: | 1922 S COURT ST | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932775426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596250888 | ||||||||
| FaxNumber: | 5596250688 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2012 | ||||||||
| LastUpdateDate: | 01/24/2013 | ||||||||
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| AuthorizedOfficialLastName: | GU | ||||||||
| AuthorizedOfficialFirstName: | HUIYING | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5596250888 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246XS1301X | A89633 | CA | N | 193200000X MULTI-SPECIALTY GROUP | Technologists, Technicians & Other Technical Service Providers | Spec/Tech, Cardiovascular | Sonography | 208000000X | A89633 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | BG9075094 | 01 | DEA | OTHER |