Organization
VIDA DEL VALLE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIPOLITO G MARIANO JR. MD (PRESIDENT)
(559) 349-4146
Entity
Organization
Contact information
Practice address
3121 E OLIVE AVE, FRESNO, CA 93702-1030
(559) 349-4146
Mailing address
3121 E OLIVE AVE, FRESNO, CA 93702-1030
(559) 349-4146
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
A88903
CA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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