| Modesto Mental Health Consultants Inc A Professional Medical Corp | |
|
1501 Claus Rd Modesto CA 95355 | |
| (209) 558-4700 | |
| Not Available |
| Full Name | Modesto Mental Health Consultants Inc A Professional Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1501 Claus Rd, Modesto, California |
| Authorized Official Name and Position | Antoun Manganas (OWNER) |
| Authorized Official Contact | 2096046521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto Mental Health Consultants Inc A Professional Medical Corp 220 Standiford Ave Ste F Modesto CA 95350-1159 Ph: (209) 579-5628 | Modesto Mental Health Consultants Inc A Professional Medical Corp 1501 Claus Rd Modesto CA 95355 Ph: (209) 558-4700 |
| NPI Number | 1932610847 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 8527397181 |
|---|---|
| Medicare Enrollment ID | O20190906000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932610847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Antoun C Manganas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114938974 PECOS PAC ID: 5294836896 Enrollment ID: I20090416000453 |
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