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Organization
CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC
Active
Organization
CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA NAZARI M.D. (CEO)
(209) 602-6684
Entity
Organization
Contact information
Practice address
1508 COLORADO AVE, TURLOCK, CA 95380-2711
(209) 668-8030
(209) 668-8031
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
40507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439840
—
CA
01
—
GO094A
MEDICARE
CA
Enumeration date
08/16/2012
Last updated
03/24/2025
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