institution
San Joaquin Laser Surgery Center
Ambulatory Surgical Clinic/Center in Stockton, California
NPI 1730112178

San Joaquin Laser Surgery Center is an Ambulatory Surgical Clinic/Center based in Stockton, CA and is specialized in Ambulatory Surgical. San Joaquin Laser Surgery Center practices in Stockton, CA. The NPI Number for San Joaquin Laser Surgery Center is 1730112178 and holds a License No. 030000469 (California).

The current practice location address for San Joaquin Laser Surgery Center is 1805 N California St Ste 101A, Stockton, CA and can be reached out via phone at 209-948-5515. You can also correspond with San Joaquin Laser Surgery Center through the mailing address at 1805 N CALIFORNIA ST STE 101A, STOCKTON, CA - 95204-6032 (mailing address contact number: 209-948-3241).

Location: 1805 N California St Ste 101A, Stockton, CA, 95204-6032
institution
Provider Profile Details
NPI Number
1730112178
Provider Name
San Joaquin Laser Surgery Center
Credential
Provider Entity Type
Organization
Address
1805 N California St Ste 101A, Stockton, CA, 95204-6032
Phone Number
209-948-5515
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ17148Z 01 CA GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1805 N California St Ste 101A
City
State
Zip
95204-6032
Phone Number
209-948-5515
Fax Number
person
Provider Business Mailing Address Details
Address
1805 N California St Ste 101A
City
State
Zip
95204-6032
Phone Number
209-948-3241
Fax Number
209-948-8009
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
030000469 (California)
Definition
Definition to come...
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