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Organization
STOCKTON PEDIATRIC MED. GROUP, INC.
Active
Organization
STOCKTON PEDIATRIC MED. GROUP, INC.
Active
Other names
Stockton Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JAN OLIVEIRA (ADMINISTRATOR)
(209) 469-2229
Entity
Organization
Contact information
Practice address
2349 N CALIFORNIA ST, STOCKTON, CA 95204-5505
(209) 469-2229
(209) 466-2436
Mailing address
2349 N CALIFORNIA ST, STOCKTON, CA 95204-5505
(209) 469-2229
(209) 466-2436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0700081405
CA
Other
Enumeration date
07/22/2006
Last updated
04/03/2009
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