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Lodi Memorial Hospital Association Inc
Clinic/Center in Lodi, California
NPI 1881603009

Lodi Memorial Hospital Association Inc is a Clinic/Center based in Los Angeles, CA. Lodi Memorial Hospital Association Inc practices in Lodi, CA. The NPI Number for Lodi Memorial Hospital Association Inc is 1881603009 and holds a License No. 030000056 (California).

The current practice location address for Lodi Memorial Hospital Association Inc is 845 S Fairmont Ave Ste 8, Lodi, CA and can be reached out via phone at 209-339-7625.

Location: 845 S Fairmont Ave Ste 8, Lodi, CA, 90088-4577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881603009
Provider Name
Lodi Memorial Hospital Association Inc
Credential
Provider Entity Type
Organization
Address
845 S Fairmont Ave Ste 8, Lodi, CA, 90088-4577
Phone Number
209-339-7625
Fax Number
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0086834 05 CA
ZZZ62129Z 01 CA BS PROVIDER GRP NUMBER
institution
Provider Business Practice Location Address Details
Address
845 S Fairmont Ave Ste 8
City
Lodi
State
California
Zip
95240-5113
Phone Number
209-339-7625
Fax Number
person
Provider Business Mailing Address Details
Address
845 S Fairmont Ave Ste 8
City
Lodi
State
California
Zip
95240-5113
Phone Number
209-339-7625
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
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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