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Organization
LUIGI C. PACINI M.D. INC.
Active
Organization
LUIGI C. PACINI M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT ELDON GREENE DO (OWNER PRESIDENT)
(209) 464-7757
Entity
Organization
Contact information
Practice address
1307 N COMMERCE ST, STOCKTON, CA 95202-1012
(209) 464-7757
(209) 464-7761
Mailing address
1307 N COMMERCE ST, STOCKTON, CA 95202-1012
(209) 464-7757
(209) 464-7761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A4367
MEDICAL LICENSE
CA
Enumeration date
12/06/2006
Last updated
08/22/2020
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