Provider Demographics
NPI:1255163275
Name:CENTRAL VALLEY CPAPPROS, LLC
Entity type:Organization
Organization Name:CENTRAL VALLEY CPAPPROS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENARO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:209-232-7231
Mailing Address - Street 1:313 MOTOR CITY CT STE A
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-8614
Mailing Address - Country:US
Mailing Address - Phone:209-232-7231
Mailing Address - Fax:209-422-6942
Practice Address - Street 1:313 MOTOR CITY CT STE A
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-8614
Practice Address - Country:US
Practice Address - Phone:209-232-7231
Practice Address - Fax:209-422-6942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies