| NPI | 1235203688 |
|---|---|
| Doing Business As | LODI CHILDREN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROY ANUNCIACION President 209-368-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-11-19 |
| Last Update Date | 2020-08-22 |