Central Valley Eye Medical Group

LBN: Central Valley Eye Medical Group
Central Valley Eye Medical Group is an health care organization with primary practice located at 36 W Yokuts Ave , Stockton CA 95207-5713. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Central Valley Eye Medical Group can be contacted via phone (209) 952-3700, or through Kim, Stevens Y via phone (209) 952-3700.

Contact Information

Primary practice address
36 W Yokuts Ave Stockton CA 95207-5713
Phone: (209) 952-3700
Fax: (209) 478-3302
Website:
Map and Directions
Authorized official contact:
Name: Kim, Stevens Y Doctor of Medicine (MD)
Phone: (209) 952-3700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1619099413
LBN Legal business name Central Valley Eye Medical Group
DBA Doing business as
Authorized official Kim, Stevens Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619099413 NPPES
California MEDICAID GR0076150

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