| Green Valley Medical Group Inc. | |
|
132 Alta Street Gonsalez CA 93927-7977 | |
| (760) 212-7978 | |
| Not Available |
| Full Name | Green Valley Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 132 Alta Street, Gonsalez, California |
| Authorized Official Name and Position | Flor Z Mora (CEO) |
| Authorized Official Contact | 7602127978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Valley Medical Group Inc. 132 Alta Street Gonsalez CA 93926-7977 Ph: (760) 212-7978 | Green Valley Medical Group Inc. 132 Alta Street Gonsalez CA 93927-7977 Ph: (760) 212-7978 |
| NPI Number | 1285395582 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285395582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |