Healthcare Provider Details

I. General information

NPI: 1285996454
Provider Name (Legal Business Name): CENTRAL VALLEY INDIAN HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N DEWITT AVE
CLOVIS CA
93612-0311
US

IV. Provider business mailing address

20 N DEWITT AVE
CLOVIS CA
93612-0311
US

V. Phone/Fax

Practice location:
  • Phone: 559-299-4264
  • Fax: 559-299-1421
Mailing address:
  • Phone: 559-299-4264
  • Fax: 559-299-1421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A11628
License Number StateCA

VIII. Authorized Official

Name: NOOSHIN MEGAN MOALEMI
Title or Position: DOCTOR
Credential: D.O
Phone: 559-299-4264