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NATHAN A. KLUDT MD INC NPI 1144670597


NPI Information

NPI: 1144670597
Provider Name: NATHAN A. KLUDT, MD, INC

Doing Business As: PLASTIC SURGERY CENTER OF STOCKTON

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1805 N CALIFORNIA ST STE 405
STOCKTON, CA
ZIP 95204
Phone: (209) 870-7100
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NATHAN A. KLUDT, MD, INC is a medical specialty clinic center in Stockton, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NATHAN A. KLUDT, MD, INC NPI is 1144670597. The provider is registered as an organization entity type.
The provider Is Doing Business As Plastic Surgery Center Of Stockton.

The provider's business location address is:

1805 N CALIFORNIA ST STE 405
STOCKTON, CA
ZIP 95204-033
Phone: (209) 870-7100
Fax: (209) 870-7116

The provider's authorized official is Nathan Andrew Kludt .
The authorized official title is President and has the following contact phone number (209) 870-7100.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 6/16/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyA110013CALIFORNIAYes

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: 4/28/2024

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