Organization · Type 2 NPI
San Joaquin Kidney Clinic, Inc
Specialist · Stockton, CA
NPI number
1407897358
Active
Practice location
1801 E March Ln # B-265
Stockton, CA 95210-6629
Fax (209) 461-6505
Other practice locations
- 1530 Bessie Ave Ste 107, Tracy, CA 95376-3080 · (209) 546-1868
- 801 S Ham Ln Ste J, Lodi, CA 95242-7502 · (209) 546-1868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A73135 (CA) |
Specialist: 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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About NPI 1407897358
San Joaquin Kidney Clinic, Inc's National Provider Identifier is 1407897358, issued on Jun 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stockton, CA. The record was last updated on Jan 29, 2025.