Healthcare Provider Details

I. General information

NPI: 1194835652
Provider Name (Legal Business Name): VALLEY EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 HANNA AVE
CORCORAN CA
93212-2314
US

IV. Provider business mailing address

1310 HANNA AVE
CORCORAN CA
93212-2314
US

V. Phone/Fax

Practice location:
  • Phone: 559-992-5057
  • Fax: 559-992-4861
Mailing address:
  • Phone: 559-992-5057
  • Fax: 559-992-4861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ADIN LEVINE
Title or Position: OWNER
Credential: M.D.
Phone: 559-992-5057