Organization
CENTRAL VALLEY MODERN MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOURLIE CARLOS NP (CEO)
(559) 859-6705
Entity
Organization
Contact information
Practice address
523 W NOBLE AVE, VISALIA, CA 93277-2519
(559) 859-6705
Mailing address
523 W NOBLE AVE, VISALIA, CA 93277-2519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
09/02/2025
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