Lodi Children's Clinic Medical Corporation

NPI 1235203688 - Clinic/Center - 261QP2300X

NPI Details
NPI 1235203688
Enumeration Date 11/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROY ROY
Position PRESIDENT
Phone (209) 368-8310
Fax (209) 368-9652
Practice Location
1920 TIENDA DR
SUITE 102
LODI CA, 95242-3930, US
Phone (209) 368-8310
Fax (209) 368-9652
Business Location
1920 TIENDA DR
SUITE 102
LODI CA, 95242-3930, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Lodi Children's Clinic Medical Corporation NPI is 1235203688, taxonomy code is 261QP2300X Lodi Children's Clinic Medical Corporation physically located at 1920 Tienda Dr, Lodi CA, 95242-3930. NPI Number 1033115704 has the healthcare provider type.

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1235203688 NPI number is provided on an as is basis without warranty of any kind. 1235203688 is maintained by the National Plan & Provider Enumeration System. The contents of Lodi Children's Clinic Medical Corporation are for informational purposes only.