Organization
VIRGILIO C. ERESO M.D. INC.
Active
Parent organization
VIRGILIO C. ERESO M.D. INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGILIO C. ERESO M.D. INC.
Authorized official
DR. VIRGILIO C. ERESO M.D. (PRESIDENT)
(209) 579-7461
Entity
Organization
Contact information
Practice address
500 COFFEE RD, SUITE A, MODESTO, CA 95355-4926
(209) 579-7461
(209) 579-7465
Mailing address
500 COFFEE RD, SUITE A, MODESTO, CA 95355-4926
(209) 579-7461
(209) 579-7465
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A30308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A303080
—
CA
Enumeration date
01/21/2008
Last updated
01/23/2008
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