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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.

Location: 2020 Coffee Rd Ste J2, Modesto, CA, 95352-4398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Modesto
State
California
Zip
95355-2416
Phone Number
209-572-0191
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Coffee Rd Ste J2
City
Modesto
State
California
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
261QP2300X
License No.
A17110 (California)
Definition
Definition to come...
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