Central Valley Cardiovascular Associates Inc

NPI 1144572553 - Internal Medicine - 207RC0000X

NPI Details
NPI 1144572553
Enumeration Date 10/09/2012
Last Updated 02/21/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name VENKATA VENKATA
Position OWNER
Phone (209) 942-1005
Fax (209) 239-7842
Practice Location
1148 NORMAN DR
SUITE 2
MANTECA CA, 95336-5961, US
Phone (209) 942-1005
Fax (209) 239-7842
Business Location
PO BOX 7065
STOCKTON CA, 95267-0065, US
Phone (209) 942-1005
Fax (209) 239-7842
Toxanomy
Taxonomy Code 207RC0000X
License State California
License Number A80313
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According to our database, Central Valley Cardiovascular Associates Inc NPI is 1144572553, taxonomy code is 207RC0000X and license number is A80313, license state is located at California. Central Valley Cardiovascular Associates Inc physically located at 1148 Norman Dr, Manteca CA, 95336-5961. NPI Number 1033115704 has the healthcare provider type.

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1144572553 NPI number is provided on an as is basis without warranty of any kind. 1144572553 is maintained by the National Plan & Provider Enumeration System. The contents of Central Valley Cardiovascular Associates Inc are for informational purposes only.