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

MODESTO PEDIATRICS

Active Organization

MODESTO PEDIATRICS is a Pediatrics organization located in MODESTO, California. NPI 1366547796 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MODESTO, CA

Registration Details

NPI Number
1366547796
Provider Type
Organization
NPI Issued
Sep 13, 2006 (19.876726431698 yrs)
Last Updated
Aug 16, 2011
Licenses
G83542 (CA)
G68634 (CA)

Practice Information

Address
3109 COFFEE RD
STE A
MODESTO, CA, 953551766
Browse CA providers · Browse ZIP 95355
Phone
2095220001
Fax
2095497077
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
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.