ASPEN FAMILY MEDICAL GROUP OF MODESTO INC. is a non pharmacy dispensing site in Modesto, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ASPEN FAMILY MEDICAL GROUP OF MODESTO INC. NPI is 1457779043. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspen Family Medical Group.
The provider's business location address is:
2501 MCHENRY AVE
SUITE F
MODESTO, CA
ZIP 95350-259
Phone: (209) 522-9054
The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.
The CLIA number assigned to this NPI record is 05D0944005 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/1/2014 and was last updated on 4/1/2014.