| Dignity Health Medical Group - Stockton, A Service Of Dignity Health M | |
|
1901 N California St Stockton CA 95204-6005 | |
| (209) 948-0579 | |
| (209) 948-3125 |
| Full Name | Dignity Health Medical Group - Stockton, A Service Of Dignity Health M |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1901 N California St, Stockton, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group - Stockton, A Service Of Dignity Health M 3000 Q St Sacramento CA 95816-7058 Ph: (916) 733-5701 | Dignity Health Medical Group - Stockton, A Service Of Dignity Health M 1901 N California St Stockton CA 95204-6005 Ph: (209) 948-0579 |
| NPI Number | 1518190958 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518190958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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