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
Phone: (209) 546-1868
Fax: (209) 461-6505
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407897358 | NPPES |
California | MEDICAID | 00A731351 | |
California | Other | DA0971 |
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