| Dot Modesto Family Health Center | |
|
2316 Nickerson Dr Ste B Modesto CA 95358-9483 | |
| (209) 554-4402 | |
| (209) 551-6690 |
| Full Name | Dot Modesto Family Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2316 Nickerson Dr Ste B, Modesto, California |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dot Modesto Family Health Center 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Dot Modesto Family Health Center 2316 Nickerson Dr Ste B Modesto CA 95358-9483 Ph: (209) 554-4402 |
| NPI Number | 1093390031 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093390031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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