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999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 | |
(209) 224-5719 | |
(209) 691-9521 |
Full Name | |
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Speciality | Internal Medicine |
Location | 999 S Fairmont Ave, Lodi, California |
Authorized Official Name and Position | James S Hoff (PRESIDENT) |
Authorized Official Contact | 2092245719 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 Ph: (209) 366-2031 | 999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 Ph: (209) 224-5719 |
NPI Number | 1114117660 |
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Provider Enumeration Date | 07/31/2007 |
Last Update Date | 03/24/2020 |
Medicare PECOS PAC ID | 2860420700 |
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Medicare Enrollment ID | O20050801000994 |
Identifier | Type | State | Issuer |
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1114117660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James S Hoff |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598859654 PECOS PAC ID: 9335177203 Enrollment ID: I20050802000379 |
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 |