Organization · Type 2 NPI

Everside-Ca Ironworkers-Modesta

Clinic/Center · Modesto, CA

NPI number 1104517937 Active

Practice location

2336 Sylvan Ave Ste C
Modesto, CA 95355-9211

Call (704) 661-1380 Map

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1104517937

Everside-Ca Ironworkers-Modesta's National Provider Identifier is 1104517937, issued on May 15, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Modesto, CA. The record was last updated on Sep 17, 2026.