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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE FAMILY PRACTICE MEDICAL GROUP

Active Organization

PROVIDENCE FAMILY PRACTICE MEDICAL GROUP is a Family Medicine organization located in MODESTO, California. NPI 1104979582 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MODESTO, CA

Registration Details

NPI Number
1104979582
Provider Type
Organization
NPI Issued
Jan 19, 2007 (19.589161732659 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
1213 COFFEE RD
SUITE B
MODESTO, CA, 953554229
Browse CA providers · Browse ZIP 95355
Phone
2094912500
Fax
2094912545
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.