Healthcare Provider Details
I. General information
NPI: 1609339175
Provider Name (Legal Business Name): TURNING POINT OF CENTRAL CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/10/2019
Last Update Date: 04/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 N R ST STE 103
MADERA CA
93637-4465
US
IV. Provider business mailing address
PO BOX 7447
VISALIA CA
93290-7447
US
V. Phone/Fax
- Phone: 559-664-9021
- Fax: 844-802-2763
- Phone: 559-732-8086
- Fax: 844-364-4599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QC1500X |
| Taxonomy | Community Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RAYMOND
PEREZ
II
Title or Position: REGIONAL DIRECTOR
Credential:
Phone: 559-237-0846