NPI #
2415 W Vine St Ste 105
Lodi, CA, 95242-3731
030000056
CA
Ambulatory Health Care Facilities
Clinic/Center
Primary Care
261QP2300X
2415 W Vine St Ste 100
2407 W Vine St Ste A
Lodi, CA, 95242-3730
2407 W Vine St, Suite A