# FAMILY PRACTICE HEALTH AND WELLNESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY PRACTICE HEALTH AND WELLNESS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164754347
- **Legal business name:** FAMILY PRACTICE HEALTH AND WELLNESS, INC
- **Authorized official:** DR. KATHY CHRISTOPHER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (209) 575-4990

## Contact information

- **Practice address:** 2020 STANDIFORD AVE, BLD D SUITE D1, MODESTO, CA 95350-6529
- **Practice address phone:** (209) 575-4990
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 03/28/2012
