Organization
VALLEY RIVER ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
VALLEY RIVER ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASEEM N. BEAUCHMAN MD (MD/OWNER)
(209) 400-2959
Entity
Organization
Contact information
Practice address
VALLEY RIVER ORTHOPEDICS & SPORTS MEDICINE INC, 3329 G ST STE A, MERCED, CA 95340
(209) 661-4406
(209) 400-2752
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 400-2959
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A123593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A15220
MEDICAL LICENSE
CA
Enumeration date
06/05/2018
Last updated
09/29/2021
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