Organization
CENTRAL VALLEY MULTISPECIALTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTON SMITH M.D. (PRESIDENT/C.E.O.)
(559) 867-4416
Entity
Organization
Contact information
Practice address
20647 MALSBARY ST, RIVERDALE, CA 93656-9208
(559) 867-4416
Mailing address
PO BOX 217, RIVERDALE, CA 93656-0217
(559) 867-4416
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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