<unavail> in Lodi, CA - Clinic/Center

is a primary clinic (Clinic/center - Primary Care) in Lodi, California. The current practice location for is 2415 W Vine St Ste 105, Lodi, California. For appointments, you can reach them via phone at (209) 333-3121. The mailing address for is Po Box 884577, Los Angeles, California and phone number is (209) 334-3411.

is licensed to practice in California (license number 030000056) and its NPI number is 1306855523. 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) 333-3121.

Contact Information


	2415 W Vine St Ste 105 Lodi CA 95242-3731
	(209) 333-3121
	(209) 339-7659

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	2415 W Vine St Ste 105, 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 and Practice Location

Mailing Address	Practice Location Address
Po Box 884577 Los Angeles CA 90088-4577 Ph: (209) 334-3411	2415 W Vine St Ste 105 Lodi CA 95242-3731 Ph: (209) 333-3121

NPI Details:

NPI Number	1306855523
Provider Enumeration Date	08/05/2006
Last Update Date	01/06/2022

Medical Identifiers

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

Identifier	Type	State	Issuer
1306855523	NPI	-	NPPES
ZZZ53358Z	Other	CA	BLUE SHIELD PROV GRP
GR0086832	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	030000056 (California)	Primary

Reviews and Comments

Clinic/Center 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: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990
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