Organization
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Active
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) 550-5898
Mailing address
1130 COFFEE RD STE 10, MODESTO, CA 95355-4228
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
05/02/2024
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