Westlane Medical Clinic,Inc

LBN: Westlane Medical Clinic,Inc
Westlane Medical Clinic,Inc is an health care organization with primary practice located at 4873 West Ln Suite A, Stockton CA 95210-4548. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Westlane Medical Clinic,Inc can be contacted via phone (209) 472-1515, or through Tanson, Gabriel Kodzo via phone (209) 472-1515.

Contact Information

Primary practice address
4873 West Ln Suite A Stockton CA 95210-4548
Phone: (209) 472-1515
Fax: (209) 472-1651
Website:
Map and Directions
Authorized official contact:
Name: Tanson, Gabriel Kodzo Doctor of Medicine (MD)
Phone: (209) 472-1515

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A325500 California

Profile Details

NPI number 1689729352
LBN Legal business name Westlane Medical Clinic,Inc
DBA Doing business as
Authorized official Tanson, Gabriel Kodzo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 3rd, 2021 - about 3 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 1689729352 NPPES
California MEDICAID 00A325500

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