# TRI VALLEY CARE LLC

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

## Provider details

- **NPI number:** 1235946336
- **Authorized official:** ANTHONY OGBODO (PRESIDENT)
- **Authorized official phone:** (510) 755-3004

## Contact information

- **Practice address:** 2471 NORTH NAGLEE ROAD, SUITE 100 \#1037, TRACY, CA 95304
- **Practice address phone:** (510) 755-3004
- **Mailing address:** 2471 NORTH NAGLEE ROAD, SUITE 100 \#1037, TRACY, CA 95304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 12/12/2024