# CENTRAL VALLEY EYE MEDICAL GROUP INC.

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

## Provider details

- **NPI number:** 1609975366
- **Authorized official:** STEVENS Y. KIM MD (CFO)
- **Authorized official phone:** (209) 952-3700

## Contact information

- **Practice address:** 36 WEST YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
- **Practice address phone:** (209) 952-3700
- **Practice address fax:** (209) 478-3302
- **Mailing address:** 36 WEST YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
- **Mailing address phone:** (209) 952-3700
- **Mailing address fax:** (209) 478-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | CA | — |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 02/19/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0076150 | — | CA |
