Organization · Type 2 NPI

County of Stanislaus

Multi-Specialty Clinic/Center · Modesto, CA

NPI number 1629094891 Active

Practice location

830 Scenic Dr, Modesto, Ca Suite B
Modesto, CA 95350-6131

Fax (209) 558-8611

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1629094891

County of Stanislaus's National Provider Identifier is 1629094891, issued on Jul 14, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Modesto, CA. The record was last updated on Oct 3, 2024.