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999 S Fairmont Ave #130/135 Lodi CA 95240-5100 | |
(209) 366-2001 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 999 S Fairmont Ave, Lodi, California |
Authorized Official Name and Position | Steven A Mitnick (MEDICAL DIRECTOR) |
Authorized Official Contact | 2095216097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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600 Coffee Rd Modesto CA 95355-4201 Ph: (209) 524-1211 | 999 S Fairmont Ave #130/135 Lodi CA 95240-5100 Ph: (209) 366-2001 |
NPI Number | 1174570964 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 05/06/2010 |
Identifier | Type | State | Issuer |
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1174570964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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 |