Pediatric Care Of Stockton

LBN: Pediatric Care Of Stockton
Pediatric Care Of Stockton is an health care organization with primary practice located at 2800 N California Street Suite 14, Stockton CA 95204-3759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Care Of Stockton can be contacted via phone (209) 464-2605, or through Sachdeva, Suresh K via phone (209) 464-2695.

Contact Information

Primary practice address
2800 N California Street Suite 14 Stockton CA 95204-3759
Phone: (209) 464-2605
Fax: (209) 464-2711
Website:
Map and Directions
Authorized official contact:
Name: Sachdeva, Suresh K Doctor of Medicine (MD)
Phone: (209) 464-2695

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A64522 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1790844769
LBN Legal business name Pediatric Care Of Stockton
DBA Doing business as Pediatric Care Of Stockton
Authorized official Sachdeva, Suresh K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Feb 23rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790844769 NPPES
California Other A64522 MEDICAL LICENSE NUMBER
California MEDICAID 00A645220 MEDICAL LICENSE NUMBER

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