Stockton Primary Care | |
2068 Snowbird Dr Lodi CA 95242-4754 | |
(209) 333-0259 | |
(209) 333-0259 |
Full Name | Stockton Primary Care |
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Speciality | Clinic/center - Primary Care |
Location | 2068 Snowbird Dr, Lodi, California |
Authorized Official Name and Position | Ragunath K Reddy (FAMILY PRACTICE) |
Authorized Official Contact | 2099464000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stockton Primary Care 1805 N California St Ste 102 Stockton CA 95204-6032 Ph: (209) 946-4000 | Stockton Primary Care 2068 Snowbird Dr Lodi CA 95242-4754 Ph: (209) 333-0259 |
NPI Number | 1669743274 |
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Provider Enumeration Date | 01/13/2012 |
Last Update Date | 01/13/2012 |
Identifier | Type | State | Issuer |
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1669743274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 20440 (California) | Primary |
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 |