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Organization
SILVIA DIEGO MD INC A PROFESSIONAL MEDICAL CORP
Active
Organization
SILVIA DIEGO MD INC A PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA M DIEGO MD (OWNER)
(209) 480-9955
Entity
Organization
Contact information
Practice address
1317 OAKDALE RD STE 100, MODESTO, CA 95355-3362
(209) 522-3362
(209) 522-3363
Mailing address
1317 OAKDALE RD STE 440, MODESTO, CA 95355-3364
(209) 522-3363
(209) 522-3363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10947998
CAQH
CA
Enumeration date
10/19/2020
Last updated
10/19/2020
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