Med-1 Medical Center Professional Corporation, NPI 1275691339
Corporate Health Clinic/Center in Modesto, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1275691339
NPI Entity Type Organization
Provider Name Med-1 Medical Center Professional Corporation
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3508 Dale Rd, Modesto, CA, US
Provider Mailing Address 3508 Dale Rd, Modesto, CA, US, 953560552
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D Alan Russakov
Official Position PRESIDENT
Phone 290-574-1355

Primary Taxonomy

Taxonomy Code

261QC1800X

Taxonomy Name Corporate Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. G75606
License State CA
Description Definition to come...

Business Address

Med-1 Medical Center Professional Corporation
3508 Dale Rd

Modesto, CA, US

Phone: 209-574-1355
Fax: 209-571-8204

Mailing Address

Med-1 Medical Center Professional Corporation
3508 Dale Rd
Modesto, CA, US
ZIP 953560552
Phone: 209-574-1355
Fax: 209-571-8204

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
26254 CA LICENCE NUMBER 01
PT23734 CA LICENCE NUMBER 01
G75606 CA LICENCE NUMBER 01
13661 CA LICENCE NUMBER 01
16903 CA LICENCE NUMBER 01
18301 CA LICENCE NUMBER 01
26062 CA LICENCE NUMBER 01
27743 CA 27743 01
28332 CA LICENCE NUMBER 01
DC0167900 CA LICENCE NUMBER 01
15489 CA LICENCE NUMBER 01
25608 CA LICENCE NUMBER 01
160480 CA LICENCE NUMBER 01
28612 CA LICENCE NUMBER 01
A52975 CA LICENCE NUMBER 01
FL32707 CA LICENCE NUMBER 01
NP13918 CA LICENCE NUMBER 01
G9700 CA LICENCE NUMBER 01
CFE33570 CA LICENCE NUMBER 01
G66831 CA LICENCE NUMBER 01

Other Providers in CA, US

NPI Name Taxonomy Address

1437888120

DR. MD Manraj Singh Sekhon

Individual

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1043930449

MRS. FNP Rupinderjit Kaur

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1083182836

Lorraine Elizabeth Bishop

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Behavior Technician

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1073247417

Conor Kelly

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MA Nicole Phyllis Bermensolo

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Group Psychotherapy Psychologist

10586 W Pico Blvd # 257

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1477168409

BA SLPA Anna Shurilla

Individual

Speech-Language Assistant

500 W Central Ave Ste B

Brea, CA

1154881787

Keith Chung

Individual

11015 Bloomfield Ave

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1578283495

RD, CNSC Jessica Ann Mumaugh

Individual

Registered Dietitian

1 Hoag Dr

Newport Beach, CA

1073277828

MS. PA-C Leia Binh Tang

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Physician Assistant

12462 Putnam St Ste 501

Whittier, CA

1881220341

Heidi Velasquez

Individual

Mental Health Counselor

470 E 3rd St Ste C

Los Angeles, CA

1083776496

DR. D.C. Julio Cesar Fassino

Individual

Chiropractor

20321 Sw Acacia St Ste 100

Newport Beach, CA

1174949879

Alayne Dhamecha

Individual

Clinical Social Worker

23046 Anza Ave

Torrance, CA

1164908554

Jacqueline Daphnee Surpin

Individual

Counselor

730 Medical Center Ct

Chula Vista, CA

1306211669

Kacey Hu

Individual

Neurology Physician

2051 Marengo St

Los Angeles, CA

1720613144

AMFT Johanna Belen Brubaker

Individual

Marriage & Family Therapist

474 W Vermont Ave

Escondido, CA

1922723485

April Waight

Individual

Behavior Technician

1200 Concord Ave Ste 100

Concord, CA

1346513611

Catherine S. Montemayor

Individual

Family Nurse Practitioner

4150 Clement St

San Francisco, CA

1356093884

LMFT Jeremey Sulker-hall

Individual

Marriage & Family Therapist

31200 Via Colinas Ste 202

Westlake Village, CA

1306109053

M.D., M.P.H. Vivek Datta

Individual

Behavioral Neurology & Neuropsychiatry Physician

2211 Post St Ste 300

San Francisco, CA

1265563514

MFT Yasmin Vishram-morris

Individual

Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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