Modesto Pediatrics in Modesto - Pediatrics

Modesto Pediatrics - NPI 1366547796

Modesto Pediatrics is a Pediatrics in Modesto, California. Modesto Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Modesto Pediatrics is 1366547796. The last update date is 2011-08-16.

Modesto Pediatrics's current location address is Po Box 578202, Modesto, California. You can contact this provider via phone number 2095220001 and fax number 2095497077. The mailing address for Modesto Pediatrics is Po Box 578202, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Modesto Pediatrics
Address Po Box 578202, Modesto, California
Phone Number 2095220001
Fax Number 2095497077
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Truscello Marie Ann
Credentials MD
Telephone Number 2095220001

NPI Number Detail

NPI Number 1366547796
Provider Enumeration Date 2006-09-13
Last Updated Date 2011-08-16

Provider Mailing Address Detail

Address Po Box 578202
City Modesto
State California (CA)
Post Code 953578202
Phone Number 2095220001
Fax Number 2095497077

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G83542
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0094690 CA --
ZZZ07358Z CA BLUE SHIELD GROUP PIN

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FAQs about Modesto Pediatrics

What is the Modesto Pediatrics's unique identification number?

The Modesto Pediatrics has been assigned the NPI (National Provider Identifier) Number 1366547796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Modesto Pediatrics is physically located?

The Modesto Pediatrics is physically situated at the following address: Po Box 578202, Modesto, CA, 953578202.

What is Modesto Pediatrics's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Modesto Pediatrics is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When was the Modesto Pediatrics's 1366547796 issued?

The Modesto Pediatrics's 1366547796 was issued on 2006-09-13.

When was the information regarding Modesto Pediatrics most recently updated?

The details pertaining to the Modesto Pediatrics, including its address, specialty, and other relevant information, were last refreshed on 2011-08-16.

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