Organization
COMMUNITY MEDICAL CENTERS INC
Active
Other names
CMC, Lodi Vine Family Care, Suite 105
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE NOGUERA (CEO)
(209) 373-2831
Entity
Organization
Contact information
Practice address
2415 W VINE ST STE 105, LODI, CA 95242-3731
(209) 333-3121
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
07/05/2019
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