Organization · Type 2 NPI

Ibne Sina Community Clinic

Primary Care Clinic/Center · Lodi, CA

NPI number 1508771577 Active

Practice location

12882 N Lower Sacramento Rd
Lodi, CA 95242-9225

Call (209) 200-3314 Map

Mailing address

1112 Rivergate Dr
Lodi, CA 95240-0555

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1508771577

Ibne Sina Community Clinic's National Provider Identifier is 1508771577, issued on Aug 15, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lodi, CA. The record was last updated on Aug 15, 2026.