Central Valley Pain Management And Wellness Clinic in Modesto - Neuromusculoskeletal Medicine, Sports Medicine
Central Valley Pain Management And Wellness Clinic - NPI 1871657403
Central Valley Pain Management And Wellness Clinic is a Neuromusculoskeletal Medicine, Sports Medicine in Modesto, California. Central Valley Pain Management And Wellness Clinic practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Central Valley Pain Management And Wellness Clinic is 1871657403. The last update date is 2012-11-26.
Central Valley Pain Management And Wellness Clinic's current location address is 1300 Mable Avenue, Modesto, California. You can contact this provider via phone number 2095711992 and fax number 2095711994. The mailing address for Central Valley Pain Management And Wellness Clinic is 1300 Mable Avenue, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Valley Pain Management And Wellness Clinic |
|---|---|
| Address | 1300 Mable Avenue, Modesto, California |
| Phone Number | 2095711992 |
| Fax Number | 2095711994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rhoades Neal Patrick |
| Credentials | MD |
| Telephone Number | 2095711992 |
NPI Number Detail
| NPI Number | 1871657403 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2012-11-26 |
Provider Mailing Address Detail
| Address | 1300 Mable Avenue |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953551120 |
| Phone Number | 2095711992 |
| Fax Number | 2095711994 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | 00A519490 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A519490 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Central Valley Pain Management And Wellness Clinic?
The Central Valley Pain Management And Wellness Clinic has been issued the NPI (National Provider Identifier) 1871657403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Central Valley Pain Management And Wellness Clinic located?
The Central Valley Pain Management And Wellness Clinic is located at 1300 Mable Avenue, Modesto, CA 953551120.
What is Central Valley Pain Management And Wellness Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Valley Pain Management And Wellness Clinic is Neuromusculoskeletal Medicine, Sports Medicine, and the taxonomy code that classifies this field of practice is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871657403 to Central Valley Pain Management And Wellness Clinic?
The Central Valley Pain Management And Wellness Clinic received its 1871657403 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date was the information regarding Central Valley Pain Management And Wellness Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Central Valley Pain Management And Wellness Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-26.
NPI Number: 1245233451
Address: 262 Danny Thomas Place., Ms 0515, Memphis, TN
NPI Number: 1750384947
Address: Ou Medical Center-750 Ne 13th, Oklahoma City, OK