Organization
NORTHERN CALIFORNIA YOUTH CENTER
Active
Other names
NCYCC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN WONG D.O (CHIEF OF PHYSICIANS AND SURGEONS)
(209) 944-6365
Entity
Organization
Contact information
Practice address
7650 NEWCASTLE RD, STOCKTON, CA 95215-9663
(209) 463-9085
(209) 465-8627
Mailing address
PO BOX 213004, STOCKTON, CA 95213-9004
(209) 463-9085
(209) 465-8627
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LCF 35788
CA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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