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General NPI Number Information
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NPI Number | 1689860660
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Entity Type | Organization
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Legal Business Name | REPRDUCTIVE HEALTH CARE CENTER
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 1801 TULLY RD STE F
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City | MODESTO
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State | CA
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Zip | 95350-2931
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Country | US
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Telephone | 209-526-5770
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Fax | 209-544-1234
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Provider Business Mailing Address
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Address Line | 1801 TULLY RD STE F
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City | MODESTO
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State | CA
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Zip | 95350-2931
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Country | US
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Telephone | 209-526-5770
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Fax | 209-544-1234
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ANEETA KUMAR
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Credential |
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Telephone | 209-526-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | A28000
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License Number State | SD
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