Organization Name: | DOCTORS MEDICAL CENTER OF MODESTO |
NPI Number: | 1073944393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD KAUFMAN (REGIONAL CMO; TENET) |
Mailing Address: | 1010 W Las Palmas Ave Ste E Patterson |
State: | CA US |
Postal Code: | 953638873 |
Phone Number: | 2098957100 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2013 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |