| Psychiatric Medical Group Of Modesto, Inc. | |
|
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 | |
| (209) 524-9401 | |
| (209) 524-0907 |
| Full Name | Psychiatric Medical Group Of Modesto, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3425 Coffee Rd, Modesto, California |
| Authorized Official Name and Position | Helen A. Schorr (BUSINESS MANAGER) |
| Authorized Official Contact | 2095249401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Medical Group Of Modesto, Inc. 3425 Coffee Rd Suite 2a Modesto CA 95355-1582 Ph: (209) 524-9401 | Psychiatric Medical Group Of Modesto, Inc. 3425 Coffee Rd Suite 2a Modesto CA 95355-1582 Ph: (209) 524-9401 |
| NPI Number | 1669551255 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 7315963022 |
|---|---|
| Medicare Enrollment ID | O20051021000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669551255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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