institution
Modesto Primary Care
Primary Care Clinic/Center in Modesto, California
NPI 1841215530

Modesto Primary Care is a Primary Care Clinic/Center based in Modesto, CA and is specialized in Primary Care. Modesto Primary Care practices in Modesto, CA. The NPI Number for Modesto Primary Care is 1841215530 and holds a License No. A17110 (California).

The current practice location address for Modesto Primary Care is 2020 Coffee Rd Ste J2, Modesto, CA and can be reached out via phone at 209-572-0191. You can also correspond with Modesto Primary Care through the mailing address at PO BOX 4398, MODESTO, CA - 95352-4398 (mailing address contact number: 209-575-4575).

Location: 2020 Coffee Rd Ste J2, Modesto, CA, 95352-4398
institution
Provider Profile Details
NPI Number
1841215530
Provider Name
Modesto Primary Care
Credential
Provider Entity Type
Organization
Address
2020 Coffee Rd Ste J2, Modesto, CA, 95352-4398
Phone Number
209-572-0191
Fax Number
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086820 05 CA
institution
Provider Business Practice Location Address Details
Address
2020 Coffee Rd Ste J2
City
State
Zip
95355-2416
Phone Number
209-572-0191
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Coffee Rd Ste J2
City
State
Zip
95355-2416
Phone Number
209-572-0191
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A17110 (California)
Definition
Definition to come...
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