| NPI | 1356716179 |
|---|---|
| Doing Business As | STOCKTON MEDICAL PLAZA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTA LOPES Sh VP, Quality, Safety And Patient 916-384-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G32207) |
| 207R00000X Internal Medicine (Licence: CA G25105) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G41310) | |
| 208000000X Pediatrics (Licence: CA A16204) | |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-04-25 |