Organization
VALLEY HYPERBARIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJ AHMED MD (OWNER / MD)
(209) 823-2131
Entity
Organization
Contact information
Practice address
520 E CENTER ST, MANTECA, CA 95336-4720
(209) 823-2131
Mailing address
520 E CENTER ST, MANTECA, CA 95336-4720
(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
—
Enumeration date
06/23/2021
Last updated
06/23/2021
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