| NPI | 1386654077 |
|---|---|
| Doing Business As | LODI MEMORIAL PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JASON WHITNEY Finance Officer 209-339-7477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 030000056) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-01-06 |