SAN JOAQUIN LASER SURGERY CENTER is an ambulatory surgical clinic center in Stockton, CA. SAN JOAQUIN LASER SURGERY CENTER NPI is 1639183486. The provider is registered as an organization entity type.
The provider's business location address is:
1805 N CALIFORNIA ST
SUITE 101 A
STOCKTON, CA
ZIP 95204-037
Phone: (209) 948-3241
Fax: (209) 948-9321
The provider's authorized official is Philip A Edington .
The authorized official title is Director and has the following contact phone number (209) 948-5515.
The CLIA number assigned to this NPI record is 05D0936965 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/22/2020.