Central Stockton Medical Clinic in Stockton - Family Medicine
Central Stockton Medical Clinic - NPI 1932148343
Central Stockton Medical Clinic is a Family Medicine in Stockton, California. Central Stockton Medical Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Central Stockton Medical Clinic is 1932148343. The last update date is 2008-01-04.
Central Stockton Medical Clinic's current location address is 1508 West Ln, Stockton, California. You can contact this provider via phone number 2099482886 and fax number 2099482831. The mailing address for Central Stockton Medical Clinic is 1508 West Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Stockton Medical Clinic |
|---|---|
| Address | 1508 West Ln, Stockton, California |
| Phone Number | 2099482886 |
| Fax Number | 2099482831 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR/O |
|---|---|
| Authorized Official Name | Edington A Philip |
| Credentials | MD |
| Telephone Number | 2099485515 |
NPI Number Detail
| NPI Number | 1932148343 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 1508 West Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952053340 |
| Phone Number | 2099482886 |
| Fax Number | 2099482831 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ25352Z | CA | GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Central Stockton Medical Clinic by the Centers for Medicare & Medicaid Services?
The Central Stockton Medical Clinic has been issued the NPI (National Provider Identifier) 1932148343 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Central Stockton Medical Clinic is physically located?
The Central Stockton Medical Clinic is situated at the following address: 1508 West Ln, Stockton, CA 952053340.
What is Central Stockton Medical Clinic's area of expertise and its corresponding taxonomy classification?
The Central Stockton Medical Clinic's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Central Stockton Medical Clinic receive the assignment of its 1932148343 from the Centers for Medicare & Medicaid Services?
The Central Stockton Medical Clinic was issued its 1932148343 by the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date were the Central Stockton Medical Clinic's details last updated?
The information pertaining to the Central Stockton Medical Clinic, including its address, specialty, and other details, was most recently updated on 2008-01-04.
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