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Organization
SUCCESS VALLEY MEDICAL GROUP, INC
Active
Organization
SUCCESS VALLEY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGO RENE ESCOBAR M.D. (PRESIDENT)
(559) 781-6323
Entity
Organization
Contact information
Practice address
53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
(559) 781-6323
(559) 781-7290
Mailing address
53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
(559) 781-6323
(559) 781-7290
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A21821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ76348Z
—
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
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