San Joaquin Laser And Surgery Center Inc, NPI 1730112178
Ambulatory Surgical Clinic/Center in Stockton, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1730112178
NPI Entity Type Organization
Provider Name San Joaquin Laser And Surgery Center Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1805 N California St Ste 101a, Stockton, CA, US
Provider Mailing Address 1144 Norman Dr, Suite 102, Manteca, CA, US, 953365925
Is Sole Proprietor? No
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Organization Official

Official Name Susan K Ford
Official Position ADMINISTRATOR
Phone 209-948-5515

Primary Taxonomy

Taxonomy Code

261QA1903X

Taxonomy Name Ambulatory Surgical Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 030000469
License State CA
Description Definition to come...

Business Address

San Joaquin Laser And Surgery Center Inc
1805 N California St Ste 101a

Stockton, CA, US

Phone: 209-948-5515

Mailing Address

San Joaquin Laser And Surgery Center Inc
1144 Norman Dr
Suite 102
Manteca, CA, US
ZIP 953365925
Phone: 209-823-1152
Fax: 209-823-3376

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