CENTRAL VALLEY EYE MEDICAL GROUP; NPI #1619099413

Contact Information

CENTRAL VALLEY EYE MEDICAL GROUP

36 W YOKUTS AVE
STOCKTON, CA 95207-5713

Phone: 209-952-3700
Fax: 209-478-3302
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CENTRAL VALLEY EYE MEDICAL GROUP

NPI # 1619099413

LBN Legal business name CENTRAL VALLEY EYE MEDICAL GROUP

Authorized official STEVENS KIM - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

GR0076150

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRAL VALLEY EYE MEDICAL GROUP

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for CENTRAL VALLEY EYE MEDICAL GROUP

Reviews for CENTRAL VALLEY EYE MEDICAL GROUP