Stockton Medical Plaza Primary Care
LBN: Sutter Gould Medical Foundation
Stockton Medical Plaza Primary Care is an health care organization with primary practice located at 2505 W Hammer Ln , Stockton CA 95209-2839. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sutter Gould Medical Foundation can be contacted via phone (209) 957-7050, or through Mitnick, Steven A via phone (209) 521-6097.
Contact Information
Primary practice address
2505 W Hammer Ln
Stockton CA 95209-2839
Phone: (209) 957-7050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G32207 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G25105 | California |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | G41310 | California |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A16204 | California |
Profile Details
NPI number | 1154352771 |
---|---|
LBN Legal business name | Sutter Gould Medical Foundation |
DBA Doing business as | Stockton Medical Plaza Primary Care |
Authorized official | Mitnick, Steven A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Oct 3rd, 2012 - about 12 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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