Clayton Valley Medical Group, Inc.
NPI #1720120819 in Clayton, California
Provider Information
- NPI Number
- 1720120819
- Entity Type
- Organization
- Organization Name
- Clayton Valley Medical Group, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 1520 KIRKER PASS RD
- Address 2
- SUITE A
- City
- Clayton
- State
- California
- ZIP Code
- 94517-1096
- Phone
- (925) 672-6744
Authorized Official
- Name
- KENNY HEINE
- Title
- DIR. OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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