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2415 W Vine St Ste 100 Lodi CA 95242-3731 | |
(209) 333-3135 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2415 W Vine St Ste 100, Lodi, California |
Authorized Official Name and Position | Christine Noguera (CEO) |
Authorized Official Contact | 2093732831 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7210 Murray Dr Stockton CA 95210-3339 Ph: (209) 373-2800 | 2415 W Vine St Ste 100 Lodi CA 95242-3731 Ph: (209) 333-3135 |
NPI Number | 1710542816 |
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Provider Enumeration Date | 05/03/2019 |
Last Update Date | 07/05/2019 |
Identifier | Type | State | Issuer |
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1710542816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 |