| Central Valley Pediatrics, Inc | |
|
7011 N Howard St Suite 106 Fresno CA 93720-2955 | |
| (559) 431-6600 | |
| Not Available |
| Full Name | Central Valley Pediatrics, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7011 N Howard St, Fresno, California |
| Authorized Official Name and Position | Raymond Canuto Miranda (PRESIDENT) |
| Authorized Official Contact | 5594316600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Pediatrics, Inc 7011 N Howard St Suite 106 Fresno CA 93720-2955 Ph: (559) 431-6600 | Central Valley Pediatrics, Inc 7011 N Howard St Suite 106 Fresno CA 93720-2955 Ph: (559) 431-6600 |
| NPI Number | 1285906941 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285906941 | NPI | - | NPPES |
| 00G661190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G66119 (California) | Primary |
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