# CENTRAL VALLEY MEDICAL CLINIC, INC

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

## Provider details

- **NPI number:** 1831462092
- **Authorized official:** DR. HUNG VAN NGUYEN M.D. (OWNER/DOCTOR)
- **Authorized official phone:** (818) 708-7227

## Contact information

- **Practice address:** 7227 RESEDA BLVD, RESEDA, CA 91335-3046
- **Practice address phone:** (818) 708-7227
- **Practice address fax:** (818) 708-3740
- **Mailing address:** 7227 RESEDA BLVD, RESEDA, CA 91335-3046
- **Mailing address phone:** (818) 708-7227
- **Mailing address fax:** (818) 708-3740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | A42303 | CA | — |
| 2085U0001X | Diagnostic Ultrasound Physician | A42303 | CA | — |
| 208D00000X | General Practice Physician | A42303 | CA | Yes |

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 02/20/2012