Organization
CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHNU V BEZWADA (CEO)
(617) 272-5589
Entity
Organization
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291
(559) 624-2000
Mailing address
5211 W GOSHEN AVE, PMB 326, VISALIA, CA 93291-8619
(559) 802-5596
(559) 802-5816
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C50351
CA
Other
Enumeration date
05/06/2015
Last updated
12/20/2022
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