Organization
STOCKTON KIDNEY CLINIC, LLC
Active
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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