<unavail> in Lodi, CA - Family Medicine

is a primary clinic (Family Medicine) in Lodi, California. The current practice location for is 1300 W Lodi Ave, Ste P, Lodi, California. For appointments, you can reach them via phone at (209) 366-1990. The mailing address for is 600 Coffee Rd, Modesto, California and phone number is (209) 524-1211.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1063468106. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (209) 366-1990.

Contact Information


	1300 W Lodi Ave Ste P Lodi CA 95242-3000
	(209) 366-1990
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1300 W Lodi 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 and Practice Location

Mailing Address	Practice Location Address
600 Coffee Rd Modesto CA 95355-4201 Ph: (209) 524-1211	1300 W Lodi Ave Ste P Lodi CA 95242-3000 Ph: (209) 366-1990

NPI Details:

NPI Number	1063468106
Provider Enumeration Date	05/26/2006
Last Update Date	05/06/2010

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063468106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
208000000X	Pediatrics	(* (Not Available))	Secondary

Reviews and Comments

Family Medicine in Lodi, CA

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
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001
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

- Primary Care in Lodi, CA