1275691339 MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION

Corporate Health Clinic/Center

Active

Basic Information

Organization Name
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
Enumeration Date
December 4, 2006
Last Update
August 22, 2020
Authorized Official
DR. ALAN RUSSAKOV M.D
PRESIDENT
Phone: (290) 574-1355

Practice Location

Address
3508 DALE RD
MODESTO, CA 953560552
Phone
(209) 574-1355
Fax
(209) 571-8204

Mailing Address

Address
3508 DALE RD
MODESTO, CA 953560552
Phone
(209) 574-1355
Fax
(209) 571-8204

Specialties & Taxonomies

Specialty Code Classification License State Primary
Corporate Health Clinic/Center
Corporate Health
261QC1800X Clinic/Center G75606 CA Primary

Other Identifiers

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

Frequently Asked Questions

What is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's NPI number?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's NPI number is 1275691339.
Which doctor has NPI number 1275691339?
The doctor with NPI number 1275691339 is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION.
What is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's practice address?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's practice address is 3508 DALE RD, MODESTO, CA, 953560552.
Which doctor practices at 3508 DALE RD, MODESTO, CA, 953560552?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION practices at 3508 DALE RD, MODESTO, CA, 953560552.
What is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's phone number?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's phone number is (209) 574-1355.
Who is (209) 574-1355?
(209) 574-1355 is the phone number for MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION.
What is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's specialty?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION's specialty is Corporate Health Clinic/Center.
What type of doctor is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION is a Corporate Health Clinic/Center.
Is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION a Corporate Health?
Yes, MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION is a Corporate Health.
Is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION still practicing?
Yes, MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION is currently practicing.
Is MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION accepting new patients?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION may be accepting new patients. Please call their office at (209) 574-1355 to inquire about availability.
Is NPI 1275691339 still active?
Yes, NPI 1275691339 is currently active.
Where does MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION practice?
MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION practices in MODESTO, CA.