# CENTRAL VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL VALLEY ENDOCRINOLOGY, APC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679767214
- **Authorized official:** DR. PREM SAHASRANAM M.D. (CEO)
- **Authorized official phone:** (559) 587-1100

## Contact information

- **Practice address:** 1524 W LACEY BLVD, SUITE 201, HANFORD, CA 93230-5965
- **Practice address phone:** (559) 587-1100
- **Practice address fax:** (559) 587-9044
- **Mailing address:** PO BOX 1669, HANFORD, CA 93232-1669
- **Mailing address phone:** (559) 587-1100
- **Mailing address fax:** (559) 587-9044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A91333 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 03/07/2023