Organization
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Active
Other names
Premium Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA GUTIERREZ MEDICAL ASSISTANT (CLINIC SUPERVISOR)
(209) 522-9054
Entity
Organization
Contact information
Practice address
1130 COFFEE RD STE 10, MODESTO, CA 95355-4228
(209) 522-9054
(209) 522-2631
Mailing address
1130 COFFEE RD STE 10, MODESTO, CA 95355-4228
(209) 522-9054
(209) 522-2631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/17/2006
Last updated
08/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us