Organization
CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA NAZARI M.D. (CEO)
(209) 602-6684
Entity
Organization
Contact information
Practice address
1508 COLORADO AVE, TURLOCK, CA 95380-2711
(209) 668-8030
(209) 668-8031
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
40507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439840
—
CA
01
—
GO094A
MEDICARE
CA
Enumeration date
08/16/2012
Last updated
03/24/2025
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