Inpatient Services Of California, Inc., A Medical Corporation | |
975 S. Fairmont Ave Lodi CA 95240 | |
(214) 712-2400 | |
Not Available |
Full Name | Inpatient Services Of California, Inc., A Medical Corporation |
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Speciality | Internal Medicine |
Location | 975 S. Fairmont Ave, Lodi, California |
Authorized Official Name and Position | Kathy Kondas (OFFICER) |
Authorized Official Contact | 9732511132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inpatient Services Of California, Inc., A Medical Corporation Po Box 41766 Philadelphia PA 19101-1766 Ph: () - | Inpatient Services Of California, Inc., A Medical Corporation 975 S. Fairmont Ave Lodi CA 95240 Ph: (214) 712-2400 |
NPI Number | 1215149323 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 10/28/2019 |
Identifier | Type | State | Issuer |
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1215149323 | NPI | - | NPPES |
GR0094570 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | NA (* (Not Available)) | Primary |