| NPI | 1962833319 |
|---|---|
| Doing Business As | GREATER MODESTO MEDICAL SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JEFF KOUREY CEO 714-428-6842 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2016-06-06 |