# SUCCESS VALLEY MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1548487580
- **Authorized official:** DR. HUGO RENE ESCOBAR M.D. (PRESIDENT)
- **Authorized official phone:** (559) 781-6323

## Contact information

- **Practice address:** 53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
- **Practice address phone:** (559) 781-6323
- **Practice address fax:** (559) 781-7290
- **Mailing address:** 53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
- **Mailing address phone:** (559) 781-6323
- **Mailing address fax:** (559) 781-7290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A21821 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZZ76348Z | — | CA |