Individual provider · Type 1 NPI

Joel Eidelson

General Practice Physician · Stockton, CA

NPI number 1457768566 Active

Practice location

582 E Harding Way
Stockton, CA 95204-6110

Call (209) 819-7178 Map

Fax (844) 226-9193

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA145569 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1457768566

Joel Eidelson's National Provider Identifier is 1457768566, issued on Jul 21, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 26, 2026.