Provider Demographics
NPI: | 1851094577 |
---|---|
Name: | CENTRAL VALLEY PULMONARY TESTING LLC |
Entity Type: | Organization |
Organization Name: | CENTRAL VALLEY PULMONARY TESTING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CO-OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LUCIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PAREJA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 619-763-3069 |
Mailing Address - Street 1: | 2938 GRAYBARK AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | CLOVIS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93619-5167 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 619-763-3069 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2938 GRAYBARK AVE |
Practice Address - Street 2: | |
Practice Address - City: | CLOVIS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 93619-5167 |
Practice Address - Country: | US |
Practice Address - Phone: | 619-763-3069 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-03-22 |
Last Update Date: | 2023-04-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225B00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Pulmonary Function Technologist | Group - Multi-Specialty | |
No | 2279P1004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Diagnostics | Group - Multi-Specialty |
No | 2279P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Rehabilitation | Group - Multi-Specialty |
No | 2279P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Pulmonary Function Technologist | Group - Multi-Specialty |
No | 261QS1200X | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic | Group - Multi-Specialty |