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Pao Choua Vang
Methadone Clinic in Stockton, California
NPI 1326191677

Pao Choua Vang is a Methadone Clinic based in Stockton, CA and is specialized in Methadone. Pao Choua Vang practices in Stockton, CA. The NPI Number for Pao Choua Vang is 1326191677 and holds a License No. (California).

The current practice location address for Pao Choua Vang is 1111 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281. You can also correspond with Pao Choua Vang through the mailing address at 1111 N EL DORADO ST, STOCKTON, CA - 95202-1305 (mailing address contact number: 209-938-0228).

Location: 1111 N El Dorado St, Stockton, CA, 95202-1305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326191677
Provider Name
Pao Choua Vang
Credential
Provider Entity Type
Individual
Gender
Male
Address
1111 N El Dorado St, Stockton, CA, 95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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