Organization
CENTRAL VALLEY FAMILY HEALTHCARE INC.
Active
Other names
Los Banos Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY SUNJOO PARK (CEO)
(714) 869-5078
Entity
Organization
Contact information
Practice address
1045 5TH ST, LOS BANOS, CA 93635-4204
(209) 827-4747
Mailing address
1965 ADDISON DR, TURLOCK, CA 95382-8649
(714) 869-5078
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
19036
CA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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