| Vishapakagh Corporation | |
|
2793 Quincy Ave Clovis CA 93619-8449 | |
| (559) 712-1127 | |
| Not Available |
| Full Name | Vishapakagh Corporation |
|---|---|
| Speciality | Counselor |
| Location | 2793 Quincy Ave, Clovis, California |
| Authorized Official Name and Position | David Khalatyan (OWNER) |
| Authorized Official Contact | 5597121127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vishapakagh Corporation 2793 Quincy Ave Clovis CA 93619-8449 Ph: () - | Vishapakagh Corporation 2793 Quincy Ave Clovis CA 93619-8449 Ph: (559) 712-1127 |
| NPI Number | 1144033929 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Medicare PECOS PAC ID | 6800313347 |
|---|---|
| Medicare Enrollment ID | O20250507003188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144033929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | David Khalatyan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316528458 PECOS PAC ID: 0345767885 Enrollment ID: I20250507003374 |
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