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Organization
DOCTORS MEDICAL CENTER OF MODESTO
Active
Organization
DOCTORS MEDICAL CENTER OF MODESTO
Active
Other names
Emanuel Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KAUFMAN (REGIONAL CMO; TENET)
(714) 428-6812
Entity
Organization
Contact information
Practice address
1010 W LAS PALMAS AVE, STE E, PATTERSON, CA 95363-8873
(209) 895-7100
Mailing address
PO BOX 743399, LOS ANGELES, CA 90074-3399
(209) 573-6102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/12/2013
Last updated
06/06/2016
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