Individual
DR. DAREN STEPHEN PRIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 E MARCH LN, STE. D400, STOCKTON, CA 95210-6629
(209) 464-3615
(209) 464-1311
Mailing address
1801 E MARCH LN STE D400, STOCKTON, CA 95210-6675
(209) 464-3615
(209) 464-1311
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
G68135
CA
207RC0000X
Cardiovascular Disease Physician
G68135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G681350
—
CA
01
—
G68135
MEDICAL LICENSE NUMBER
CA
Enumeration date
03/08/2006
Last updated
01/22/2026
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