Mid Valley Health Services Long Term Care Inc

Specialty details in registry · Modesto, CA

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At a glance

602 Scenic Dr, Modesto, CA 95350-6128

NPPES record updated Sep 21, 2016. Public records can lag behind changes at a practice.

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Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

602 Scenic Dr
Modesto, CA 95350-6128

Professional details: NPI, taxonomy & registry record

NPI1760658553

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3336L0003X
Enumeration date: May 1, 2008
Record updated: Sep 21, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

3336L0003X · Primary

License reported: PHY49880 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

602 Scenic Dr
Modesto, CA 95350-6128

Phone: (209) 552-7600
Fax: (209) 552-7638

Mailing address

602 SCENIC DR

MODESTO, CA 953506128

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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