Individual provider · Type 1 NPI

Eileen Chatham

Clinic/Center · Stockton, CA

NPI number 1164926622 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Fax (209) 938-0281

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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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About NPI 1164926622

Eileen Chatham's National Provider Identifier is 1164926622, issued on Mar 20, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Stockton, CA. The record was last updated on Mar 20, 2018.