| Valley Health Team, Inc | |
|
21890 Colorado Ave San Joaquin CA 93660-0737 | |
| (559) 693-2462 | |
| (559) 693-4382 |
| Full Name | Valley Health Team, Inc |
|---|---|
| Speciality | Dentist |
| Location | 21890 Colorado Ave, San Joaquin, California |
| Authorized Official Name and Position | Soyla R. Griffin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5596932462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Team, Inc Po Box 737 San Joaquin CA 93660-0737 Ph: (559) 693-2462 | Valley Health Team, Inc 21890 Colorado Ave San Joaquin CA 93660-0737 Ph: (559) 693-2462 |
| NPI Number | 1043376577 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 10/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043376577 | NPI | - | NPPES |
| FHC03875F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040000522 (California) | Primary |