Organization
VALLEY CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN PHI LE MD (PHYSICIAN)
(209) 241-6309
Entity
Organization
Contact information
Practice address
777 HAWKEYE AVE, SUITE 3, TURKLOCK, CA 95380
(209) 667-1718
Mailing address
4021 THORNHILL WAY, MODESTO, CA 95356-9351
(209) 241-6309
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A89810
CA
Other
Enumeration date
09/12/2007
Last updated
09/14/2007
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