institution
Lodi Memorial Hospital Association Inc
Clinic/Center in Ione, California
NPI 1750391710

Lodi Memorial Hospital Association Inc is a Clinic/Center based in Los Angeles, CA. Lodi Memorial Hospital Association Inc practices in Ione, CA. The NPI Number for Lodi Memorial Hospital Association Inc is 1750391710 and holds a License No. 030000056 (California).

The current practice location address for Lodi Memorial Hospital Association Inc is 305 Preston Ave, Ione, CA and can be reached out via phone at 209-274-2183 and via fax at 209-339-7659.

Location: 305 Preston Ave, Ione, CA, 90088-4577
institution
Provider Profile Details
NPI Number
1750391710
Provider Name
Lodi Memorial Hospital Association Inc
Credential
Provider Entity Type
Organization
Address
305 Preston Ave, Ione, CA, 90088-4577
Phone Number
209-274-2183
Fax Number
209-339-7659
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086835 05 CA
ZZZ53493Z 01 CA BLUE SHIELD PROV GRP
institution
Provider Business Practice Location Address Details
Address
305 Preston Ave
City
State
Zip
95640
Phone Number
209-274-2183
Fax Number
209-339-7659
person
Provider Business Mailing Address Details
Address
305 Preston Ave
City
State
Zip
95640
Phone Number
209-274-2183
Fax Number
209-339-7659
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
030000056 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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