Modesto Neonatal Medical Group, Inc. in Modesto - Neonatal-perinatal Medicine

Modesto Neonatal Medical Group, Inc. - NPI 1912197294

Modesto Neonatal Medical Group, Inc. is a Neonatal-perinatal Medicine in Modesto, California. Modesto Neonatal Medical Group, Inc. practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Modesto Neonatal Medical Group, Inc. is 1912197294. The last update date is 2007-08-01.

Modesto Neonatal Medical Group, Inc.'s current location address is Po Box 577558, Modesto, California. You can contact this provider via phone number 2095718330 and fax number 2094917184. The mailing address for Modesto Neonatal Medical Group, Inc. is Po Box 577558, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Modesto Neonatal Medical Group, Inc.
Address Po Box 577558, Modesto, California
Phone Number 2095718330
Fax Number 2094917184
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING AG
Authorized Official Name Wallace Gina
Telephone Number 2095718330

NPI Number Detail

NPI Number 1912197294
Provider Enumeration Date 2007-08-01
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address Po Box 577558
City Modesto
State California (CA)
Post Code 953577558
Phone Number 2095718330
Fax Number 2094917184

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 39491
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ39491Z CA BLUE SHIELD
GR0090580 CA --

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FAQs about Modesto Neonatal Medical Group, Inc.

What is the unique 10-digit identifier code issued to Modesto Neonatal Medical Group, Inc. by the Centers for Medicare & Medicaid Services?

The Modesto Neonatal Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1912197294 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Modesto Neonatal Medical Group, Inc. is located?

The Modesto Neonatal Medical Group, Inc. is situated at the following address: Po Box 577558, Modesto, CA, 953577558.

What is Modesto Neonatal Medical Group, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Modesto Neonatal Medical Group, Inc. is Neonatal-perinatal Medicine, and the corresponding taxonomy classification code for this specialized field is 2080N0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912197294 to Modesto Neonatal Medical Group, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1912197294 to Modesto Neonatal Medical Group, Inc. on 2007-08-01.

When was the information regarding Modesto Neonatal Medical Group, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Modesto Neonatal Medical Group, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-01.

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