Organization · Type 2 NPI
Central Valley Pain Management and Wellness Clinic Inc
Non-Pharmacy Dispensing Site · Modesto, CA
NPI number
1497134969
Active
Practice location
1300 Mable Ave # SUITEB2
Modesto, CA 95355-1120
Mailing address
311 Park Place Blvd Fl 5
Clearwater, FL 33759-4904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | A51949 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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About NPI 1497134969
Central Valley Pain Management and Wellness Clinic Inc's National Provider Identifier is 1497134969, issued on May 29, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Modesto, CA. The record was last updated on May 29, 2015.