Organization · Type 2 NPI

Central Valley Pain Management and Wellness Clinic

Sports Medicine (Neuromusculoskeletal Medicine) Physician · Modesto, CA

NPI number 1871657403 Active

Practice location

1300 Mable Avenue, Suite 2
Modesto, CA 95355-1120

Fax (209) 571-1994

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary 204C00000X00A519490 (CA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X00A519490 (CA)
Pain Medicine Physician 208VP0000X00A519490 (CA)

Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…

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About NPI 1871657403

Central Valley Pain Management and Wellness Clinic's National Provider Identifier is 1871657403, issued on Dec 20, 2006. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in Modesto, CA. The record was last updated on Nov 26, 2012.