| Luigi C. Pacini M.d. Inc. | |
|
1307 N Commerce St Stockton CA 95202-1012 | |
| (209) 464-7757 | |
| (209) 464-7761 |
| Full Name | Luigi C. Pacini M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1307 N Commerce St, Stockton, California |
| Authorized Official Name and Position | Gilbert Eldon Greene (OWNER PRESIDENT) |
| Authorized Official Contact | 2094647757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luigi C. Pacini M.d. Inc. 1307 N Commerce St Stockton CA 95202-1012 Ph: (209) 464-7757 | Luigi C. Pacini M.d. Inc. 1307 N Commerce St Stockton CA 95202-1012 Ph: (209) 464-7757 |
| NPI Number | 1255490231 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255490231 | NPI | - | NPPES |
| 20A4367 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A4367 (California) | Primary |
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