Psychiatric Medical Group Of Modesto, Inc. | |
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 | |
(209) 524-9401 | |
(209) 524-0907 |
Full Name | Psychiatric Medical Group Of Modesto, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 3425 Coffee Rd, Modesto, California |
Authorized Official Name and Position | Helen A. Schorr (BUSINESS MANAGER) |
Authorized Official Contact | 2095249401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatric Medical Group Of Modesto, Inc. 3425 Coffee Rd Suite 2a Modesto CA 95355-1582 Ph: (209) 524-9401 | Psychiatric Medical Group Of Modesto, Inc. 3425 Coffee Rd Suite 2a Modesto CA 95355-1582 Ph: (209) 524-9401 |
NPI Number | 1669551255 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 01/07/2014 |
Medicare PECOS PAC ID | 7315963022 |
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Medicare Enrollment ID | O20051021000529 |
Identifier | Type | State | Issuer |
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1669551255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (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 | |