Organization · NPI-2

Advanced Central Valley Vascular Institute, INC

Clinic/Center, Radiology · Bakersfield, CA

NPI number1861847170
StatusActive
Last updated in NPPESApr 25, 2016

Details

NPI
1861847170
Entity type
Organization (NPI-2)
Legal business name
Advanced Central Valley Vascular Institute, INC
Organization subpart
No
Enumeration date
Apr 25, 2016
Last updated
Apr 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, Radiology–CAYes
261QM2500X Clinic/Center, Medical Specialty–CA
261QR0207X Clinic/Center, Radiology, Mobile Mammography–CA

Practice location

3550 Q St
Suite 205
Bakersfield, CA 93301-1662

Phone 661-321-9767 · Fax 661-321-9747

Mailing address

3550 Q St
Suite 205
Bakersfield, CA 93301-1662

Phone 661-321-9767 · Fax 661-321-9747

Authorized official

Muhammad Chaudhri
Physician
5596270112

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