Stockton Kidney Clinic, Llc in Stockton - End-stage Renal Disease (esrd) Treatment
Stockton Kidney Clinic, Llc - NPI 1518166594
Stockton Kidney Clinic, Llc is a End-stage Renal Disease (esrd) Treatment in Stockton, California. Stockton Kidney Clinic, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Stockton Kidney Clinic, Llc is 1518166594. The last update date is 2007-07-11.
Stockton Kidney Clinic, Llc's current location address is 1523 E March Ln, Stockton, California. You can contact this provider via phone number 2094723300 and fax number 2094720900. The mailing address for Stockton Kidney Clinic, Llc is 1523 E March Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stockton Kidney Clinic, Llc |
|---|---|
| Address | 1523 E March Ln, Stockton, California |
| Phone Number | 2094723300 |
| Fax Number | 2094720900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORPORATE |
|---|---|
| Authorized Official Name | Moya Joseph |
| Telephone Number | 2094723300 |
NPI Number Detail
| NPI Number | 1518166594 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 1523 E March Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 95210 |
| Phone Number | 2094723300 |
| Fax Number | 2094720900 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 261QE0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the Stockton Kidney Clinic, Llc's 1518166594?
The Stockton Kidney Clinic, Llc's NPI (National Provider Identifier) Number is 1518166594. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stockton Kidney Clinic, Llc?
The Stockton Kidney Clinic, Llc is situated at 1523 E March Ln, in the city of Stockton, state of CA, with the zip code 95210.
What is Stockton Kidney Clinic, Llc's area of expertise and its corresponding taxonomy classification?
The Stockton Kidney Clinic, Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Stockton Kidney Clinic, Llc receive its 1518166594 assignment from the Centers for Medicare & Medicaid Services?
The Stockton Kidney Clinic, Llc was assigned its 1518166594 by the Centers for Medicare & Medicaid Services on 2007-07-11.
As of what date were the details pertaining to Stockton Kidney Clinic, Llc last refreshed?
The information related to the Stockton Kidney Clinic, Llc, including its address, specialty, and other relevant details, was last updated on 2007-07-11.