Modesto Anesthesia Medical Group
NPI #1750443305 in Modesto, California
Provider Information
- NPI Number
- 1750443305
- Entity Type
- Organization
- Organization Name
- Modesto Anesthesia Medical Group
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1441 FLORIDA AVENUE
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4405
- Phone
- (209) 576-3514
Authorized Official
- Name
- HWAN KIM, M.D.
- Title
- AUTHORIZED OFFICIAL
- Phone
- 20957635414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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