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Premise Health Of California Medical, P.c
Primary Care Clinic/Center in Modesto, California
NPI 1093390031

Premise Health Of California Medical, P.c is a Primary Care Clinic/Center based in Brentwood, CA and is specialized in Primary Care. Premise Health Of California Medical, P.c practices in Modesto, CA. The NPI Number for Premise Health Of California Medical, P.c is 1093390031 and holds a License No. (California).

The current practice location address for Premise Health Of California Medical, P.c is 2316 Nickerson Dr Ste B, Modesto, CA and can be reached out via phone at 209-554-4402 and via fax at 209-551-6690.

Location: 2316 Nickerson Dr Ste B, Modesto, CA, 37027-4993
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093390031
Provider Name
Premise Health Of California Medical, P.c
Credential
Provider Entity Type
Organization
Address
2316 Nickerson Dr Ste B, Modesto, CA, 37027-4993
Phone Number
209-554-4402
Fax Number
209-551-6690
Provider Enumeration Date
03/11/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2316 Nickerson Dr Ste B
City
Modesto
State
California
Zip
95358-9483
Phone Number
209-554-4402
Fax Number
209-551-6690
person
Provider Business Mailing Address Details
Address
2316 Nickerson Dr Ste B
City
Modesto
State
California
Zip
95358-9483
Phone Number
209-554-4402
Fax Number
209-551-6690
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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