Organization
CENTRAL VALLEY TOTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GANDOLFO (OFFICE MANAGER)
(559) 323-5660
Entity
Organization
Contact information
Practice address
1080 N IRWIN ST, HANFORD, CA 93230-2949
(559) 251-2225
(559) 298-9002
Mailing address
5361 E KINGS CANYON RD STE 101, FRESNO, CA 93727-4908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
202D00000X
Integrative Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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