Healthcare Provider Details

I. General information

NPI: 1336344613
Provider Name (Legal Business Name): FAMILY HEALTHCARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12586 AVENUE 408
OROSI CA
93647-9454
US

IV. Provider business mailing address

12518 AVENUE 413
OROSI CA
93647-2110
US

V. Phone/Fax

Practice location:
  • Phone: 559-528-2804
  • Fax: 559-528-7623
Mailing address:
  • Phone: 559-302-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA94140
License Number StateCA

VIII. Authorized Official

Name: DR. CRISTINA VALERO
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 559-302-8747