GOLDEN VALLEY HEALTH CENTERS
Organization (NPI-2)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1942413786- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1717 LAS VEGAS ST, MODESTO, CA, 953585500
- Phone
- (209) 576-4200
- Fax
- (209) 384-3966
Specialties & Taxonomies
Family Medicine
License: CA #030000528
Nurse Practitioner, Family
License: CA #030000528
Physician Assistant, Medical
Primary License: CA #030000528