COUNTY OF SAN JOAQUIN

NPI # 

Practice Address:

1601 E Hazelton Ave

Stockton, CA, 95205-6229

Practice Phone:

209-468-6937

Practice Fax:

209-468-7042

License Number:

030000087

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Multi-Specialty

Taxonomy Code:

261QM1300X

Updated by NPPES on 6/2/2021. You can view the original data set for NPI # 1679023980 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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COUNTY OF SAN JOAQUIN's

CMS CPT® coding data

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COUNTY OF SAN JOAQUIN's

CMS prescription data

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