| Stanislaus County Health Services Agency Specialty Clinics | |
|
830 Scenic Dr Suite B Modesto CA 95350-6131 | |
| (209) 558-7000 | |
| Not Available |
| Full Name | Stanislaus County Health Services Agency Specialty Clinics |
|---|---|
| Speciality | Clinic/center |
| Location | 830 Scenic Dr, Modesto, California |
| Authorized Official Name and Position | Mary Ann Lee (MANAGING DIRECTOR) |
| Authorized Official Contact | 2095587163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanislaus County Health Services Agency Specialty Clinics 830 Scenic Dr Suite B Modesto CA 95350-6131 Ph: (209) 558-7000 | Stanislaus County Health Services Agency Specialty Clinics 830 Scenic Dr Suite B Modesto CA 95350-6131 Ph: (209) 558-7000 |
| NPI Number | 1154527232 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154527232 | NPI | - | NPPES |
| ZZZ21961Z | Other | CA | MEDICARE PTAN |
| CMM70759F | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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