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Organization
MEDICODE BILLING
Active
Organization
MEDICODE BILLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RUBALCABA (CEO)
(530) 213-9314
Entity
Organization
Contact information
Practice address
4719 QUAIL LAKES DR, STOCKTON, CA 95207-8140
(520) 427-9841
Mailing address
4719 QUAIL LAKES DR, STOCKTON, CA 95207-8140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/27/2025
Last updated
12/15/2025
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