# CENTRAL VALLEY PAIN MANAGEMENT AND WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Valley Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871657403
- **Authorized official:** PATRICK NEAL RHOADES MD (PRESIDENT)
- **Authorized official phone:** (209) 571-1992

## Contact information

- **Practice address:** 1300 MABLE AVENUE, SUITE 2, MODESTO, CA 95355-1120
- **Practice address phone:** (209) 571-1992
- **Practice address fax:** (209) 571-1994
- **Mailing address:** 1300 MABLE AVENUE, SUITE 2, MODESTO, CA 95355-1120
- **Mailing address phone:** (209) 571-1992
- **Mailing address fax:** (209) 571-1994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 00A519490 | CA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 00A519490 | CA | — |
| 208VP0000X | Pain Medicine Physician | 00A519490 | CA | — |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 11/26/2012