Med-1 Medical Center Professional Corporation, NPI 1275691339
Corporate Health Clinic/Center in Modesto, CA, US
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 |
Organization Official
| Official Name | DR. M.D Alan Russakov |
| Official Position | PRESIDENT |
| Phone | 290-574-1355 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Corporate Health Clinic/Center |
| Classification | |
| Group | |
| License No. | G75606 |
| License State | CA |
| Description | Definition to come... |
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 |
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