| NPI | 1679023980 |
|---|---|
| Doing Business As | SAN JOAQUIN COUNTY CLINIC HAZELTON |
| Entity Type | Organization |
| Authorized Contact | DAVID B JOMAOAS Director Of Ambulatory Care Service 209-468-6160 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 030000087) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-06-02 |