Organization · Type 2 NPI

Lodi Memorial Hospital Association, Inc

Primary Care Clinic/Center · Stockton, CA

NPI number 1982860995 Active

Practice location

10200 Trinity Parkway, Suite 102
Stockton, CA 95219-7249

Call (209) 948-0808 Map

Fax (209) 948-0807

Mailing address

PO Box 884577
Los Angeles, CA 90088-4577

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Primary Care Clinic/Center Primary	261QP2300X	550000841 (CA)

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

Another provider at this address

Angela Nicolini, DOFamily Medicine Physician Stockton, CA NPI 1013446228

Other primary care clinic/center providers in Stockton

See all in Stockton →

NPI record

NPI: 1982860995
Entity type: Organization (Type 2)
Issued: Jul 30, 2008
Last updated: Jan 6, 2022
Status: Active
Subpart: Yes of Lodi Memorial Hospital Association, Inc.

Other names

<unavail>
Lodi Memorial Community Clinic - Trinity · doing business as
Lodi Memorial Community Clinic - Trinity · 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 1982860995

Lodi Memorial Hospital Association, Inc's National Provider Identifier is 1982860995, issued on Jul 30, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Stockton, CA. The record was last updated on Jan 6, 2022.