Organization
CENTURION VALLEY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HTAY MINN M.D. (PRESIDENT)
(209) 910-0701
Entity
Organization
Contact information
Practice address
6337 BROOK HOLLOW CIR, STOCKTON, CA 95219-2441
(209) 910-0701
(209) 910-9763
Mailing address
6337 BROOK HOLLOW CIR, STOCKTON, CA 95219-2441
(209) 910-0701
(209) 910-9763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992765523
—
CA
Enumeration date
02/27/2015
Last updated
02/27/2015
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