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Organization

CVI MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE WOODWORTH (CHIEF ADMINISTRATOR)
(650) 969-8600
Entity
Organization

Contact information

Practice address
2660 GRANT RD, MOUNTAIN VIEW, CA 94040-4315
(650) 969-8600
(650) 969-2807
Mailing address
2660 GRANT RD, MOUNTAIN VIEW, CA 94040-4315
(650) 969-8600
(650) 969-2807

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
FNP22375
CA
207RI0011X
Interventional Cardiology Physician
Primary
FNP22375
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0098530
CA
Enumeration date
07/30/2006
Last updated
09/11/2025
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