| Divine Medical Wellness Center Inc | |
|
5150 N 6th St Ste 100, Fresno, CA 93710-7505 | |
| (559) 222-5362 | |
| Not Available |
| Full Name | Divine Medical Wellness Center Inc |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 5150 N 6th St Ste 100, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972920098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Randall L Roulund |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205866035 PECOS PAC ID: 8224122353 Enrollment ID: I20070920000523 |
| Provider Name | Billy G Redmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518937150 PECOS PAC ID: 3870625072 Enrollment ID: I20100723000669 |
| Provider Name | James D Casteel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477809820 PECOS PAC ID: 7315194024 Enrollment ID: I20120831000639 |
| Provider Name | Alexis Sanchez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033878434 PECOS PAC ID: 2668831835 Enrollment ID: I20230706001424 |
| Provider Name | Lindsay A Sherfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891401485 PECOS PAC ID: 9234583931 Enrollment ID: I20230928004059 |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Medical Wellness Center Inc 5150 N 6th St Ste 100, Fresno, CA 93710-7505 Ph: (559) 222-5362 | Divine Medical Wellness Center Inc 5150 N 6th St Ste 100, Fresno, CA 93710-7505 Ph: (559) 222-5362 |