Organization
COUNTY OF STANISLAUS
Active
Parent organization
STANISLAUS COUNTY BHRS
Other names
FEE FOR SERVICE - PSYCHIATRIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY BHRS
Authorized official
RUBEN IMPERIAL MBA (BEHAVIORAL HEALTH INTERIM DIRECTOR)
(209) 525-6225
Entity
Organization
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6225
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5054
—
CA
Enumeration date
05/25/2007
Last updated
07/28/2026
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