Organization · Type 2 NPI

Stanislaus Family Medicine Residency

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1861626616 Active

Practice location

401 Paradise Rd Ste E
Modesto, CA 95351-3163

Call (209) 558-4000 Map

Mailing address

1934 Chelsea Ave
Modesto, CA 95350-2810

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861626616

Stanislaus Family Medicine Residency's National Provider Identifier is 1861626616, issued on May 7, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on May 7, 2009.