| Fairmont Ave Care Center | |
|
999 S Fairmont Ave #130/135 Lodi CA 95240-5100 | |
| (209) 366-2001 | |
| Not Available |
| Full Name | Fairmont Ave Care Center |
|---|---|
| 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 |
|---|---|
| Fairmont Ave Care Center 600 Coffee Rd Modesto CA 95355-4201 Ph: (209) 524-1211 | Fairmont Ave Care Center 999 S Fairmont Ave #130/135 Lodi CA 95240-5100 Ph: (209) 366-2001 |
| NPI Number | 1174570964 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174570964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Lodi Memorial Community Clinic-alder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659 | |
Lodi Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990 | |
James S. Hoff, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521 | |
Cmc, Lodi Vine Family Care, Suite 105 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 | |
Lodi Memorial Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659 | |
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 |