Aspen Family Medical Group Of Modesto INC.
Non-Pharmacy Dispensing Site in Modesto, CA. Organization (NPI-2).
NPI number1457779043
StatusActive
Last updated in NPPESApr 1, 2014
Details
- NPI
- 1457779043
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Family Medical Group Of Modesto INC.
- Organization subpart
- Yes
- Enumeration date
- Apr 1, 2014
- Last updated
- Apr 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 6371 | CA | Yes |
Other names
- Aspen Family Medical Group (Doing Business As)
Practice location
2501 McHenry AveSuite F
Modesto, CA 95350-3259
Phone 209-522-9054
Mailing address
5626 Oberlin DrSuite 110
San Diego, CA 92121-1705
Authorized official
Kenny Heine
Vp Of Operations
8589641506
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