Organization
STOCKTON KIDNEY CLINIC, LLC
Active
Other names
Stockton Kidney Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MOYA (CORPORATE SECRETARY)
(209) 472-3300
Entity
Organization
Contact information
Practice address
1523 E MARCH LN, STOCKTON, CA 95210
(209) 472-3300
(209) 472-0900
Mailing address
1523 E MARCH LN, STOCKTON, CA 95210
(209) 472-3300
(209) 472-0900
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
261QE0700X
CA
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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