Individual
DR. JESUA ISRAEL LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
609 E ORANGEBURG AVE STE 201, MODESTO, CA 95350-5512
(209) 572-3224
Mailing address
609 E ORANGEBURG AVE STE 201, MODESTO, CA 95350-5512
(209) 572-3224
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10796316-1204
UT
207X00000X
Orthopaedic Surgery Physician
Primary
20A13918
CA
390200000X
Student in an Organized Health Care Education/Training Program
G083433500
OK
Other
Enumeration date
05/21/2013
Last updated
07/27/2020
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