Organization
CENTRAL VALLEY EYE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVENS Y. KIM MD (CFO)
(209) 952-3700
Entity
Organization
Contact information
Practice address
36 WEST YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Mailing address
36 WEST YOKUTS AVE, SUITE 1, STOCKTON, CA 95207-5713
(209) 952-3700
(209) 478-3302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076150
—
CA
Enumeration date
09/21/2006
Last updated
02/19/2026
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