| Pacific Housecalls Inc | |
|
3340 Tully Rd Suite C8a Modesto CA 95350-0838 | |
| (209) 524-8700 | |
| (209) 846-7518 |
| Full Name | Pacific Housecalls Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3340 Tully Rd, Modesto, California |
| Authorized Official Name and Position | Jack O'sullivan (ADMINISTRATOR) |
| Authorized Official Contact | 2095248700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Housecalls Inc 3340 Tully Rd Suite C8a Modesto CA 95350-0838 Ph: (209) 524-8700 | Pacific Housecalls Inc 3340 Tully Rd Suite C8a Modesto CA 95350-0838 Ph: (209) 524-8700 |
| NPI Number | 1285940056 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285940056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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