| Cep America - Psychiatry Pc | |
|
1700 Coffee Rd Modesto CA 95355-2803 | |
| (209) 526-4500 | |
| Not Available |
| Full Name | Cep America - Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1700 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | David Birdsall (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Psychiatry Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 851-7501 | Cep America - Psychiatry Pc 1700 Coffee Rd Modesto CA 95355-2803 Ph: (209) 526-4500 |
| NPI Number | 1396507547 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396507547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |