Stockton Neurological Medical Clinic, Inc

LBN: Stockton Neurological Medical Clinic, Inc
Stockton Neurological Medical Clinic, Inc is an health care organization with primary practice located at 2815 N California St , Stockton CA 95204-3738. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Stockton Neurological Medical Clinic, Inc can be contacted via phone (209) 466-3551, or through Clift, Warren David via phone (209) 466-3551.

Contact Information

Primary practice address
2815 N California St Stockton CA 95204-3738
Phone: (209) 466-3551
Fax: (209) 465-7437
Website:
Map and Directions
Authorized official contact:
Name: Clift, Warren David Doctor of Medicine (MD)
Phone: (209) 466-3551

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G16430 California

Profile Details

NPI number 1801074737
LBN Legal business name Stockton Neurological Medical Clinic, Inc
DBA Doing business as
Authorized official Clift, Warren David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2008
Last updated Feb 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801074737 NPPES
California MEDICAID GR0067140

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