Healthcare Provider Details

I. General information

NPI: 1174760722
Provider Name (Legal Business Name): CENTRAL VALLEY OPTIMAL MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2009
Last Update Date: 08/31/2025
Certification Date: 08/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7181 N MILLBROOK AVE STE 112
FRESNO CA
93720-3364
US

IV. Provider business mailing address

7181 N MILLBROOK AVE STE 112
FRESNO CA
93720-3364
US

V. Phone/Fax

Practice location:
  • Phone: 559-447-8956
  • Fax:
Mailing address:
  • Phone: 559-447-8956
  • Fax: 559-432-9332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA74340
License Number StateCA

VIII. Authorized Official

Name: DR. WENBIAO ZHANG
Title or Position: CEO
Credential: M.D.
Phone: 559-447-8956