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Organization

GOLDEN VALLEY HEALTH CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HELEN ROEHLK (ADM. ASSIST. CREDENTIALING)
(209) 385-5434
Entity
Organization

Contact information

Practice address
1510 FLORIDA AVE, SUITE B, MODESTO, CA 95350-4437
(209) 574-1367
(209) 384-3966
Mailing address
737 W CHILDS AVE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR008628A
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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