Organization
CENTRAL VALLEY MINIMALLY INVASIVE SURGERY MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. Y LENNY SPIVAK M.D. (MANAGING PARTNER)
(559) 637-8800
Entity
Organization
Contact information
Practice address
784 E MANNING AVE, REEDLEY, CA 93654-2232
(559) 637-8800
(559) 637-8804
Mailing address
784 E MANNING AVE, REEDLEY, CA 93654-2232
(559) 637-8800
(559) 637-8804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0070620
—
CA
Enumeration date
07/08/2006
Last updated
12/24/2012
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