| Modesto On-call Services, Llc | |
|
1441 Florida Ave Modesto CA 95350-4405 | |
| (209) 342-3124 | |
| (209) 342-3123 |
| Full Name | Modesto On-call Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1441 Florida Ave, Modesto, California |
| Authorized Official Name and Position | Ronald Kaufman (REGIONAL CMO; TENET) |
| Authorized Official Contact | 7144286812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesto On-call Services, Llc 1441 Florida Ave Modesto CA 95350-4405 Ph: (209) 342-3124 | Modesto On-call Services, Llc 1441 Florida Ave Modesto CA 95350-4405 Ph: (209) 342-3124 |
| NPI Number | 1710009022 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710009022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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