Organization
CENTRAL VALLEY PEDIATRICS , INC
Active
Other names
CENTRAL VALLEY PEDIATRICS.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND CANUTO MIRANDA M.D. (PRESIDENT/CEO)
(559) 431-6600
Entity
Organization
Contact information
Practice address
7011 N HOWARD ST, SUITE 106, FRESNO, CA 93720-2955
(559) 431-6600
(559) 431-6106
Mailing address
7011 N HOWARD ST, SUITE 106, FRESNO, CA 93720-2955
(559) 431-6600
(559) 431-6106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G66119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G661190
—
CA
Enumeration date
10/27/2006
Last updated
01/16/2012
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