| Advanced Sleep And Gastroenterology Laboratories, Inc | |
|
4206 Technology Dr Suite 2 Modesto CA 95356-8769 | |
| (209) 492-0735 | |
| (209) 579-2354 |
| Full Name | Advanced Sleep And Gastroenterology Laboratories, Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4206 Technology Dr, Modesto, California |
| Authorized Official Name and Position | Jonathan Sam Davidson (CEO) |
| Authorized Official Contact | 2097517165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Sleep And Gastroenterology Laboratories, Inc Po Box 3068 Ceres CA 95307-9032 Ph: (209) 751-7165 | Advanced Sleep And Gastroenterology Laboratories, Inc 4206 Technology Dr Suite 2 Modesto CA 95356-8769 Ph: (209) 492-0735 |
| NPI Number | 1073947305 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073947305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G66389 (California) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | G66389 (California) | Secondary |
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |