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GERIATRICS LONG TERM CARE MEDICAL CORPORATION NPI 1952534927


NPI Information

NPI: 1952534927
Provider Name: GERIATRICS LONG TERM CARE MEDICAL CORPORATION
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1240 ROBINHOOD DRIVE
SUITE A
STOCKTON, CA
ZIP 95207
Phone: (209) 475-8144
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GERIATRICS LONG TERM CARE MEDICAL CORPORATION is an internal medicine in Stockton, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GERIATRICS LONG TERM CARE MEDICAL CORPORATION NPI is 1952534927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1240 ROBINHOOD DRIVE
SUITE A
STOCKTON, CA
ZIP 95207-507
Phone: (209) 475-8144
Fax: (209) 474-7679

The provider's authorized official is Bao Quy Nguyen .
The authorized official title is Owner and has the following contact phone number (909) 659-3707.

The enumeration date for this NPI number is 8/25/2009 and was last updated on 11/23/2011.


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
1207R00000XInternal MedicineA927250CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A927250MEDICAIDCALIFORNIA
2A927250OTHERCALIFORNIAPHYSICIAN AND SURGEON LICENSE

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

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