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Individual

MR. REYMUNDO BAROCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1901 N CALIFORNIA ST, STOCKTON, CA 95204-6005
(209) 946-6800
(209) 946-6805
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18165
TX
363AS0400X
Surgical Physician Assistant
Primary
23168
CA

Other

Enumeration date
08/20/2013
Last updated
02/20/2026
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