# O & D SURGICAL AND MEDICAL SOLUTIONS INC.

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

## Provider details

- **NPI number:** 1164768982
- **Authorized official:** JUAN JORGE DEL VALLE M.D. (C.E.O.)
- **Authorized official phone:** (209) 614-1445

## Contact information

- **Practice address:** 140 EAST GRAGER AVENUE, SUITE B, MODESTO, CA 95350-4347
- **Practice address phone:** (209) 589-1500
- **Practice address fax:** (209) 521-0813
- **Mailing address:** 140 EAST GRAGER AVENUE, SUITE B, MODESTO, CA 95350-4347
- **Mailing address phone:** (209) 589-1500
- **Mailing address fax:** (209) 521-0813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A81970 | CA | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012