San Joaquin County Clinic Hazelton

LBN: County Of San Joaquin
San Joaquin County Clinic Hazelton is an health care organization with primary practice located at 1601 E Hazelton Ave , Stockton CA 95205-6229. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. County Of San Joaquin can be contacted via phone (209) 468-6937, or through Jomaoas, David B via phone (209) 468-6160.

Contact Information

Primary practice address
1601 E Hazelton Ave Stockton CA 95205-6229
Phone: (209) 468-6937
Fax: (209) 468-7042
Website:
Map and Directions
Authorized official contact:
Name: Jomaoas, David B
Phone: (209) 468-6160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 030000087 California

Profile Details

NPI number 1679023980
LBN Legal business name County Of San Joaquin
DBA Doing business as San Joaquin County Clinic Hazelton
Authorized official Jomaoas, David B
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2016
Last updated Jun 2nd, 2021 - about 3 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.

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