Central Valley Ent Medical Group Inc
LBN: Central Valley Ent Medical Group Inc
Central Valley Ent Medical Group Inc is an health care organization with primary practice located at 1600 Sunrise Ave Suite 16, Modesto CA 95350-4679. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Central Valley Ent Medical Group Inc can be contacted via phone (209) 524-6681, or through Killeen, Thomas Edward via phone (209) 524-6681.
Contact Information
Primary practice address
1600 Sunrise Ave Suite 16
Modesto CA 95350-4679
Phone: (209) 524-6681
Fax: (209) 524-2962
Website:
Authorized official contact:
Name: Killeen, Thomas Edward Doctor of Medicine (MD)
Phone: (209) 524-6681
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X |
Profile Details
NPI number | 1447369566 |
---|---|
LBN Legal business name | Central Valley Ent Medical Group Inc |
DBA Doing business as | |
Authorized official | Killeen, Thomas Edward Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447369566 | NPPES |
California | MEDICAID | ZZZ73209Z |
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