| Lodi Memorial Community Clinic - Vine | |
|
1235 W Vine St Suite 22 Lodi CA 95240-5109 | |
| (209) 334-8520 | |
| (209) 339-7659 |
| Full Name | Lodi Memorial Community Clinic - Vine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1235 W Vine St, Lodi, California |
| Authorized Official Name and Position | Jason Whitney (FINANCE OFFICER) |
| Authorized Official Contact | 2093397477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lodi Memorial Community Clinic - Vine Po Box 884577 Los Angeles CA 90088-4577 Ph: (209) 334-3411 | Lodi Memorial Community Clinic - Vine 1235 W Vine St Suite 22 Lodi CA 95240-5109 Ph: (209) 334-8520 |
| NPI Number | 1225285695 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225285695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (California) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 550001051 (California) | Primary |
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 | |
Fairmont Ave Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001 | |
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 |