| Family Practice Health And Wellness Medical Group Inc | |
|
2020 Standiford Ave D3 Modesto CA 95350-6529 | |
| (209) 575-4990 | |
| (209) 575-4996 |
| Full Name | Family Practice Health And Wellness Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Standiford Ave, Modesto, California |
| Authorized Official Name and Position | Kathy Ann Christopher (STAFF MD) |
| Authorized Official Contact | 2095754990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Health And Wellness Medical Group Inc 2020 Standiford Ave D3 Modesto CA 95350-6529 Ph: (209) 575-4990 | Family Practice Health And Wellness Medical Group Inc 2020 Standiford Ave D3 Modesto CA 95350-6529 Ph: (209) 575-4990 |
| NPI Number | 1457552960 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 11/01/2017 |
| Medicare PECOS PAC ID | 8729236716 |
|---|---|
| Medicare Enrollment ID | O20120917000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G77641 (California) | Primary |
| Provider Name | Kathy A Christopher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668273 PECOS PAC ID: 5496903478 Enrollment ID: I20120917000576 |
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