Organization · Type 2 NPI
Modesto Primary Care
Primary Care Clinic/Center · Modesto, CA
NPI number
1841215530
Active
Practice location
2020 Coffee Rd Ste J2
Modesto, CA 95355-2416
Mailing address
PO Box 4398
Modesto, CA 95352-4398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | A17110 (CA) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1841215530
Modesto Primary Care's National Provider Identifier is 1841215530, issued on Jul 13, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Modesto, CA. The record was last updated on Aug 6, 2008.