Organization · Type 2 NPI

Lodi Memorial Hospital Association Inc

Occupational Medicine Clinic/Center · Lodi, CA

NPI number 1629081377 Active

Practice location

800 S Lower Sacramento Rd
Lodi, CA 95242-3635

Call (209) 339-7441 Map

Fax (209) 339-7659

Mailing address

PO Box 884577
Los Angeles, CA 90088-4577

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	030000056 (CA)

Occupational Medicine Clinic/Center: Definition to come...

12 other providers at this address

NPI record

NPI: 1629081377
Entity type: Organization (Type 2)
Issued: Aug 14, 2006
Last updated: Jan 18, 2022
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association Inc

Other names

<unavail>
Occupational Health Clinic · doing business as
Occupational Health Clinic · doing business as

Authorized official

Jason Whitney
Finance Officer
(209) 339-7477

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629081377

Lodi Memorial Hospital Association Inc's National Provider Identifier is 1629081377, issued on Aug 14, 2006. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Lodi, CA. The record was last updated on Jan 18, 2022.