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San Joaquin Kidney Clinic, Inc
Specialist in Stockton, California
NPI 1407897358

San Joaquin Kidney Clinic, Inc is a Specialist based in Stockton, CA. San Joaquin Kidney Clinic, Inc practices in Stockton, CA. The NPI Number for San Joaquin Kidney Clinic, Inc is 1407897358 and holds a License No. A73135 (California).

The current practice location address for San Joaquin Kidney Clinic, Inc is 1801 E March Ln # B-265, Stockton, CA and can be reached out via phone at 209-546-1868 and via fax at 209-461-6505.

Location: 1801 E March Ln # B-265, Stockton, CA, 95210-6629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407897358
Provider Name
San Joaquin Kidney Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1801 E March Ln # B-265, Stockton, CA, 95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A731351 05 CA
DA0971 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1801 E March Ln # B-265
City
Stockton
State
California
Zip
95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
person
Provider Business Mailing Address Details
Address
1801 E March Ln # B-265
City
Stockton
State
California
Zip
95210-6629
Phone Number
209-546-1868
Fax Number
209-461-6505
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A73135 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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