# CENTRAL VALLEY OCCUPATIONAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033146998
- **Authorized official:** MRS. ALEJANDRA BENAVIDES (ADMINISTRATIVE MANAGER)
- **Authorized official phone:** (661) 632-1540

## Contact information

- **Practice address:** 4100 TRUXTUN AVE STE 200, BAKERSFIELD, CA 93309-0656
- **Practice address phone:** (661) 632-1540
- **Practice address fax:** (661) 632-1538
- **Mailing address:** 4100 TRUXTUN AVE STE 200, BAKERSFIELD, CA 93309-0656
- **Mailing address phone:** (661) 632-1540
- **Mailing address fax:** (661) 632-1538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A31892 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020