Organization
TRI VALLEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OGBODO (PRESIDENT)
(510) 755-3004
Entity
Organization
Contact information
Practice address
2471 NORTH NAGLEE ROAD, SUITE 100 #1037, TRACY, CA 95304
(510) 755-3004
Mailing address
2471 NORTH NAGLEE ROAD, SUITE 100 #1037, TRACY, CA 95304
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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