Organization
VALLEY HYPERBARIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJ K AHMED MD (OWNER)
(209) 823-2131
Entity
Organization
Contact information
Practice address
333 SUNRISE AVE STE 890, ROSEVILLE, CA 95661-3482
(916) 771-2555
Mailing address
1112 N MAIN ST, MANTECA, CA 95336-3208
(209) 823-2131
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138466
CA LICENSE
CA
Enumeration date
06/14/2021
Last updated
04/12/2022
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