Provider Demographics
NPI:1396779583
Name:BEHAVIORAL HEALTH HOSPITALISTS MEDICAL CORPORATION
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH HOSPITALISTS MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIBUNAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-713-0894
Mailing Address - Street 1:PO BOX 7026
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93290-7026
Mailing Address - Country:US
Mailing Address - Phone:559-713-0894
Mailing Address - Fax:559-713-0894
Practice Address - Street 1:2245 W HAROLD CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-2696
Practice Address - Country:US
Practice Address - Phone:559-713-0894
Practice Address - Fax:559-713-0894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA936892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty