Organization
INEZA OUTPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED GATIKABISI SIR (OWNER)
(207) 409-8759
Entity
Organization
Contact information
Practice address
7488 SHORELINE DR STE B3, STOCKTON, CA 95219-5433
(209) 453-5373
Mailing address
7488 SHORELINE DR STE B3, STOCKTON, CA 95219-5433
(209) 644-9070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
04/30/2026
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