COUNTY OF SAN JOAQUIN NPI 1679023980

NPI Information

NPI: 1679023980
Provider Name: COUNTY OF SAN JOAQUIN

Doing Business As: SAN JOAQUIN COUNTY CLINIC HAZELTON

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1601 E HAZELTON AVE
STOCKTON, CA
ZIP 95205
Phone: (209) 468-6937
Get Directions

COUNTY OF SAN JOAQUIN is a multi-specialty clinic center in Stockton, CA. COUNTY OF SAN JOAQUIN NPI is 1679023980. The provider is registered as an organization entity type.
The provider Is Doing Business As San Joaquin County Clinic Hazelton.

The provider's business location address is:

1601 E HAZELTON AVE
STOCKTON, CA
ZIP 95205-229
Phone: (209) 468-6937
Fax: (209) 468-7042

The provider's authorized official is David B Jomaoas .
The authorized official title is Director Of Ambulatory Care Service and has the following contact phone number (209) 468-6160.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 6/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	030000087	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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