| NPI | 1881098606 |
|---|---|
| Other Name | MODESTO OFFICE |
| Entity Type | Organization |
| Authorized Contact | ALI ABDUL WAHID President 209-892-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A106703) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |