# VIDA DEL VALLE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1467883611
- **Authorized official:** DR. HIPOLITO G MARIANO JR. MD (PRESIDENT)
- **Authorized official phone:** (559) 349-4146

## Contact information

- **Practice address:** 3121 E OLIVE AVE, FRESNO, CA 93702-1030
- **Practice address phone:** (559) 349-4146
- **Mailing address:** 3121 E OLIVE AVE, FRESNO, CA 93702-1030
- **Mailing address phone:** (559) 349-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | A88903 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2013
- **Last updated:** 12/12/2013