Lampa Medical, Inc. | |
1930 Tienda Dr Suite 204 Lodi CA 95242-3933 | |
(209) 333-9950 | |
(209) 333-9948 |
Full Name | Lampa Medical, Inc. |
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Speciality | Clinic/Center |
Location | 1930 Tienda Dr, Lodi, California |
Authorized Official Name and Position | Walter Joseph Lampa (OWNER) |
Authorized Official Contact | 2093339950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lampa Medical, Inc. 1930 Tienda Dr Suite 204 Lodi CA 95242-3933 Ph: (209) 333-9950 | Lampa Medical, Inc. 1930 Tienda Dr Suite 204 Lodi CA 95242-3933 Ph: (209) 333-9950 |
NPI Number | 1861818239 |
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Provider Enumeration Date | 03/10/2014 |
Last Update Date | 03/10/2014 |
Medicare PECOS PAC ID | 0244455277 |
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Medicare Enrollment ID | O20140708001574 |
Identifier | Type | State | Issuer |
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1861818239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 128829 (California) | Primary |
Provider Name | Walter J Lampa |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134385354 PECOS PAC ID: 1951526987 Enrollment ID: I20140708001769 |
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 |