Dr. Jana Lee Mooster, MD PhD
Family Medicine in Modesto, CA. Individual provider (NPI-1).
NPI number1336714740
StatusActive
Last updated in NPPESMay 13, 2024
Details
- NPI
- 1336714740
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jana Lee Mooster
- Credential
- MD PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2021
- Certification date
- May 13, 2024
- Last updated
- May 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD219835 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 6569 | CA |
Practice location
1441 Florida AveModesto, CA 95350-4418
Phone 209-578-1211
Mailing address
1441 Florida AveModesto, CA 95350-4404
Other practice locations
401 Paradise Rd
Modesto, CA 95351-3163
Modesto, CA 95351-3163
Phone 209-558-4000
1535 N Williams Ave
Portland, OR 97227-1885
Portland, OR 97227-1885
Phone 503-238-2067
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