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NPI Code Detail

MEDICARE: CENTRAL VALLEY GENDER HEALTH & WELLNESS

MEDICARE: CENTRAL VALLEY GENDER HEALTH & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1093642225
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL VALLEY GENDER HEALTH & WELLNESS
Provider Business Mailing Address
First Line : PO BOX 5562
Second Line :
City : STOCKTON
State : CA
Zip : 95205-0562
Country : US
Telephone Number : 350-228-8870
Fax Number :
Provider Business Practice Location Address
First Line : 1525 N EL DORADO ST STE 3
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5932
Country : US
Telephone Number : 350-228-8870
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. CYMONE A REYES
Credential :
Telephone Number : 350-228-8870
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “CENTRAL VALLEY GENDER HEALTH & WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.