| Woodbridge Medical Group | |
|
2401 W Turner Rd Suite 450 Lodi CA 95242-2182 | |
| (209) 370-1700 | |
| (209) 370-1737 |
| Full Name | Woodbridge Medical Group |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2401 W Turner Rd, Lodi, California |
| Authorized Official Name and Position | Michael Kirkpatrick (CEO) |
| Authorized Official Contact | 2093732833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Medical Group Po Box 779 Stockton CA 95201-0779 Ph: (209) 370-1700 | Woodbridge Medical Group 2401 W Turner Rd Suite 450 Lodi CA 95242-2182 Ph: (209) 370-1700 |
| NPI Number | 1801918743 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801918743 | NPI | - | NPPES |
| BCP70460F | Other | CA | BCCCP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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