Individual
JAGMOHAN GHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1608 TULLY RD, MODESTO, CA 95350-4031
(209) 849-6543
(209) 422-3776
Mailing address
26024 OHARA LN, 303 STARR AVE, CA 95380
(661) 877-6211
(209) 422-3776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95003867
CA
Other
Enumeration date
02/02/2016
Last updated
03/24/2026
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