Organization
CENTRAL VALLEY IMAGING MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. PORZIO (PRESIDENT)
(209) 647-2184
Entity
Organization
Contact information
Practice address
250 CHERRY LN STE 116, MANTECA, CA 95337-4398
(209) 647-4684
Mailing address
1530 BESSIE AVE, SUITE 108, TRACY, CA 95376-3080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
07/09/2019
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