San Joaquin Kidney Clinic, Inc

LBN: San Joaquin Kidney Clinic, Inc
San Joaquin Kidney Clinic, Inc is an health care organization with primary practice located at 1801 E March Ln # B-265 , Stockton CA 95210-6629. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. San Joaquin Kidney Clinic, Inc can be contacted via phone (209) 546-1868, or through Sagireddy, P. B. via phone (209) 546-1868.

Contact Information

Primary practice address
1801 E March Ln # B-265 Stockton CA 95210-6629
Fax: (209) 461-6505
Website:
Authorized official contact:
Name: Sagireddy, P. B. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A73135 California

Profile Details

NPI number 1407897358
LBN Legal business name San Joaquin Kidney Clinic, Inc
DBA Doing business as San Joaquin Kidney Clinic, Inc
Authorized official Sagireddy, P. B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Jan 6th, 2016 - about 8 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 1407897358 NPPES
California MEDICAID 00A731351
California Other DA0971

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