Stanislaus Cardiology Group
Stanislaus Cardiology Group is a Specialist in Modesto, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
3621 Forest Glenn DrModesto, CA 95355-1339
Phone: (209) 521-9661
Fax: (209) 521-9307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence FNP 30072 (CA) |
|---|
Record details
| NPI number | 1902828841 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kent Wong — Partner · (209) 521-9661 |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | April 20, 2016 |
| Mailing address | 3621 Forest Glenn Dr, Modesto, CA 95355-1339 |
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