Pao Choua Vang is a Methadone in Stockton, California. Pao Choua Vang practices all healthcare services and medical treatments related to Methadone. The NPI Number for Pao Choua Vang is 1326191677. The last update date is 2007-07-08.
Pao Choua Vang's current location address is 1111 N El Dorado St, Stockton, California. You can contact this provider via phone number 2099380228 and fax number 2099380281. The mailing address for Pao Choua Vang is 1111 N El Dorado St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Pao Choua Vang |
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Address | 1111 N El Dorado St, Stockton, California |
Phone Number | 2099380228 |
Fax Number | 2099380281 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1326191677 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1111 N El Dorado St |
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City | Stockton |
State | California (CA) |
Post Code | 952021305 |
Phone Number | 2099380228 |
Fax Number | 2099380281 |
Provider's Primary Taxonomy Detail
Speciality | Methadone |
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Taxonomy | 261Qm2800X |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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What is the unique 10-digit identifier code issued to Pao Choua Vang by the Centers for Medicare & Medicaid Services?
The Pao Choua Vang has been assigned the NPI (National Provider Identifier) 1326191677 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pao Choua Vang?
The Pao Choua Vang is physically situated at 1111 N El Dorado St, in the city of Stockton, state of CA, with the postal code 952021305.
What is Pao Choua Vang's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pao Choua Vang's area of specialization is Methadone, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326191677 to Pao Choua Vang?
The Centers for Medicare & Medicaid Services originally issued the 1326191677 to Pao Choua Vang on 2007-01-19.
As of what date were the details pertaining to Pao Choua Vang last refreshed?
The information related to the Pao Choua Vang, including its address, specialty, and other relevant details, was last updated on 2007-07-08.