Organization
CEP AMERICA - PSYCHIATRY, PC
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
01/02/2020
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