Organization
GOLDEN VALLEY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA LOPEZ (ADMINISTRATIVE ASSISTANT FOR CREDEN)
(209) 385-5240
Entity
Organization
Contact information
Practice address
2101 TENAYA DR, MODESTO, CA 95354-3930
(209) 576-6766
Mailing address
737 W CHILDS AVE RM 8, MERCED, CA 95341-6805
(209) 383-7441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24876
CA
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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