Organization
LODI MEMORIAL HOSPITAL ASSOCIATION, INC
Active
Parent organization
LODI MEMORIAL HOSPITAL ASSOCIATION, INC
Other names
Lodi Memorial Community Clinic - Vine
Organization subpart
Yes
Provider details
NPI number
Legal business name
LODI MEMORIAL HOSPITAL ASSOCIATION, INC
Authorized official
JASON WHITNEY (FINANCE OFFICER)
(209) 339-7477
Entity
Organization
Contact information
Practice address
1235 W VINE ST, SUITE 22, LODI, CA 95240-5109
(209) 334-8520
(209) 339-7659
Mailing address
PO BOX 884577, LOS ANGELES, CA 90088-4577
(209) 334-3411
(209) 339-7659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
550001051
CA
261QP2300X
Primary Care Clinic/Center
—
CA
Other
Enumeration date
08/27/2008
Last updated
01/06/2022
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