Central Valley Ent Medical Group Inc in Modesto - Specialist
Central Valley Ent Medical Group Inc - NPI 1447369566
Central Valley Ent Medical Group Inc is a Specialist in Modesto, California. Central Valley Ent Medical Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Central Valley Ent Medical Group Inc is 1447369566. The last update date is 2020-08-22.
Central Valley Ent Medical Group Inc's current location address is 1600 Sunrise Ave, Modesto, California. You can contact this provider via phone number 2095246681 and fax number 2095242962. The mailing address for Central Valley Ent Medical Group Inc is 1600 Sunrise Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Valley Ent Medical Group Inc |
|---|---|
| Address | 1600 Sunrise Ave, Modesto, California |
| Phone Number | 2095246681 |
| Fax Number | 2095242962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Killeen Edward Thomas |
| Credentials | M.D. |
| Telephone Number | 2095246681 |
NPI Number Detail
| NPI Number | 1447369566 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1600 Sunrise Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504679 |
| Phone Number | 2095246681 |
| Fax Number | 2095242962 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ73209Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Central Valley Ent Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Central Valley Ent Medical Group Inc has been assigned the NPI (National Provider Identifier) 1447369566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Central Valley Ent Medical Group Inc?
The Central Valley Ent Medical Group Inc is physically situated at 1600 Sunrise Ave, in the city of Modesto, state of CA, with the postal code 953504679.
What is Central Valley Ent Medical Group Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Central Valley Ent Medical Group Inc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Central Valley Ent Medical Group Inc receive its 1447369566?
The Central Valley Ent Medical Group Inc was issued its 1447369566 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Central Valley Ent Medical Group Inc most recently updated or revised?
The information pertaining to Central Valley Ent Medical Group Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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