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Organization

SUCCESS VALLEY MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUGO RENE ESCOBAR M.D. (PRESIDENT)
(559) 781-6323
Entity
Organization

Contact information

Practice address
53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
(559) 781-6323
(559) 781-7290
Mailing address
53 E CLEVELAND AVE, PORTERVILLE, CA 93257-3748
(559) 781-6323
(559) 781-7290

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A21821
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ76348Z
CA
Enumeration date
04/19/2007
Last updated
08/22/2020
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