# MEDICODE BILLING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700748712
- **Authorized official:** DEBORAH RUBALCABA (CEO)
- **Authorized official phone:** (530) 213-9314

## Contact information

- **Practice address:** 4719 QUAIL LAKES DR, STOCKTON, CA 95207-8140
- **Practice address phone:** (520) 427-9841
- **Mailing address:** 4719 QUAIL LAKES DR, STOCKTON, CA 95207-8140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2025
- **Last updated:** 12/15/2025