Organization
MODESTO MENTAL HEALTH CONSULTANTS INC A PROFESSIONAL MEDICAL CORP
Active
Organization
MODESTO MENTAL HEALTH CONSULTANTS INC A PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOUN MANGANAS MD (OWNER)
(209) 604-6521
Entity
Organization
Contact information
Practice address
1501 CLAUS RD, MODESTO, CA 95355
(209) 558-4700
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 579-5628
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
02/25/2019
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