Individual provider · Type 1 NPI

Deitrick Leellen Gorman, DO

Family Medicine Physician · Modesto, CA

NPI number 1649281569 Active

Practice location

600 Coffee Rd
Modesto, CA 95355-4201

Call (209) 550-4755 Map

Fax (510) 491-7522

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

  • 2349 Medical Dr, Pecos, TX 79772-2251 · (432) 447-0565

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X20A21341 (CA)
Family Medicine Physician 207Q00000XN4435 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

307 other providers at this address

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About NPI 1649281569

Deitrick Leellen Gorman, DO's National Provider Identifier is 1649281569, issued on Aug 10, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Modesto, CA. The record was last updated on May 26, 2026.