Central Stockton Medical Clinic
LBN: Central Stockton Medical Clinic
Central Stockton Medical Clinic is an health care organization with primary practice located at 1508 West Ln , Stockton CA 95205-3340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Central Stockton Medical Clinic can be contacted via phone (209) 948-2886, or through Edington, Philip A via phone (209) 948-5515.
Contact Information
Primary practice address
1508 West Ln
Stockton CA 95205-3340
Phone: (209) 948-2886
Fax: (209) 948-2831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1932148343 |
---|---|
LBN Legal business name | Central Stockton Medical Clinic |
DBA Doing business as | |
Authorized official | Edington, Philip A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jan 4th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932148343 | NPPES |
California | Other | ZZZ25352Z | GROUP PTAN |
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