Westlane Medical Clinic,Inc in Stockton - Family Medicine

Westlane Medical Clinic,Inc - NPI 1689729352

Westlane Medical Clinic,Inc is a Family Medicine in Stockton, California. Westlane Medical Clinic,Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Westlane Medical Clinic,Inc is 1689729352. The last update date is 2021-03-03.

Westlane Medical Clinic,Inc's current location address is 4873 West Ln, Stockton, California. You can contact this provider via phone number 2094721515 and fax number 2094721651. The mailing address for Westlane Medical Clinic,Inc is 4873 West Ln, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Westlane Medical Clinic,Inc
Address 4873 West Ln, Stockton, California
Phone Number 2094721515
Fax Number 2094721651
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL D
Authorized Official Name Tanson Kodzo Gabriel
Credentials M.D.
Telephone Number 2094721515

NPI Number Detail

NPI Number 1689729352
Provider Enumeration Date 2007-01-24
Last Updated Date 2021-03-03

Provider Mailing Address Detail

Address 4873 West Ln
City Stockton
State California (CA)
Post Code 952104548
Phone Number 2094721515
Fax Number 2094721651

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A325500
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A325500 CA --

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FAQs about Westlane Medical Clinic,Inc

What is the unique provider identifier assigned to Westlane Medical Clinic,Inc?

The Westlane Medical Clinic,Inc has been issued the NPI (National Provider Identifier) 1689729352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Westlane Medical Clinic,Inc is physically located?

The Westlane Medical Clinic,Inc is situated at the following address: 4873 West Ln, Stockton, CA 952104548.

What is Westlane Medical Clinic,Inc's area of expertise and its corresponding taxonomy classification?

The Westlane Medical Clinic,Inc'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 Westlane Medical Clinic,Inc receive its 1689729352 assignment from the Centers for Medicare & Medicaid Services?

The Westlane Medical Clinic,Inc was assigned its 1689729352 by the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the information regarding Westlane Medical Clinic,Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Westlane Medical Clinic,Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-03.

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