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Organization
PEDIATRIC CARE OF STOCKTON
Active
Organization
PEDIATRIC CARE OF STOCKTON
Active
Other names
PEDIATRIC CARE OF STOCKTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURESH K SACHDEVA M.D. (PRESIDENT)
(209) 464-2695
Entity
Organization
Contact information
Practice address
2800 N CALIFORNIA STREET, SUITE 14, STOCKTON, CA 95204-3759
(209) 464-2605
(209) 464-2711
Mailing address
2800 N CALIFORNIA STREET, SUITE 14, STOCKTON, CA 95204-3759
(209) 464-2605
(209) 464-2711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A64522
CA
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A645220
—
CA
01
—
A64522
MEDICAL LICENSE NUMBER
CA
Enumeration date
12/06/2006
Last updated
02/23/2023
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