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Search › California › 101YP2500X

Edward Colorado

NPI 1215392543 · on the registry since 2015

Practice

Address
2000 W Briggsmore Ave Ste I
Suite I
Modesto, CA 95350
Phone
(209) 526-1476
Fax
(209) 526-0908
Organisation at this address
County Of Stanislaus
Center For Human Services
Center For Human Services
Center For Human Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
242

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
NULL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-09
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California