Organization
DELTA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN ROBERT JOHNSON DPM (PRESIDENT)
(209) 464-7367
Entity
Organization
Contact information
Practice address
1205 N HUNTER ST, STOCKTON, CA 95202-1409
(209) 464-7367
(209) 464-1801
Mailing address
1205 N HUNTER ST, STOCKTON, CA 95202-1409
(209) 464-7367
(209) 464-1801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1406
LICENSE NUMBER
CA
05
—
ZZZ73253Z
—
CA
Enumeration date
01/14/2007
Last updated
04/02/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us