Organization
UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN H FLORES (CEO)
(559) 646-6618
Entity
Organization
Contact information
Practice address
650 S ZEDIKER AVE, PARLIER, CA 93648-2639
(559) 646-3561
(559) 646-3642
Mailing address
PO BOX 790, PARLIER, CA 93648-0790
(559) 646-3561
(559) 646-3642
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ77653Z
BLUE SHIELD OF CA
CA
Enumeration date
05/15/2007
Last updated
08/22/2020
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