PAO CHOUA VANG NPI 1326191677

NPI Information

  • NPI: 1326191677
  • Provider Name: PAO CHOUA VANG
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Individual
  • Address: 1111 N EL DORADO ST
    STOCKTON, CA
    ZIP 95202
  • Phone: (209) 938-0228

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NPI Details

Pao Choua Vang is a methadone clinic center in Stockton, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. Pao Choua Vang NPI is 1326191677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 N EL DORADO ST
STOCKTON, CA
ZIP 95202-305
Phone: (209) 938-0228
Fax: (209) 938-0281

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

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
1261QM2800XClinic/CenterMethadoneYes

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: 3/30/2025

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