HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION NPI 1093390031

NPI Information

HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION is a primary care clinic center in Modesto, CA. HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION NPI is 1093390031. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Center Modesto.

The provider's business location address is:

2316 NICKERSON DR STE B
MODESTO, CA
ZIP 95358-483
Phone: (209) 554-4402
Fax: (209) 551-6690

The provider's authorized official is Peter J Vasquez .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 05D2224603 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2021 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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