CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC INC NPI 1497134969

NPI Information

CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC INC is a non pharmacy dispensing site in Modesto, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC INC NPI is 1497134969. The provider is registered as an organization entity type.

The provider's business location address is:

1300 MABLE AVE # SUITEB2
MODESTO, CA
ZIP 95355-120
Phone: (813) 448-3848

The provider's authorized official is Ariana Bedoya .
The authorized official title is Credentialing Specialist and has the following contact phone number (813) 448-3848.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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