| NPI | 1417407636 |
|---|---|
| Doing Business As | SAN JOAQUIN COUNTY CLINIC MANTECA |
| Entity Type | Organization |
| Authorized Contact | FARHAN FADOO Chief Executive Officer 209-953-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 030000087) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2024-04-10 |