OrganizationActive
Advanced Sleep and Gastroenterology Laboratories,inc.
NPI 1396020947 · Gastroenterology Physician · Modesto, CA
Provider details
- NPI number
- 1396020947
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Davidson, Ceo(209) 751-7165
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4206 Technology Dr Ste 2
Modesto, CA 95356-8769
Phone: (209) 492-0735
Fax: (209) 579-2354
Approximate (ZIP-level) locationGet directions
Mailing address
262 Burgenland Ave
Turlock, CA 95382-0343
Registry dates
- Enumerated
- 2011-10-14
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.