| Organization Name: | VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC. |
| NPI Number: | 1437258175 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES W. SMITH (COO) |
| Mailing Address: | 1026 Chase Ave Corcoran |
| State: | CA US |
| Postal Code: | 932122334 |
| Phone Number: | 5599928200 |
| Fax Number: | 5599928673 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 10/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |