Organization
SOUND INPATIENT PHYSICIANS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM KODJABABIAN (CRO)
(253) 682-1710
Entity
Organization
Contact information
Practice address
525 W ACACIA ST, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
1123 PACIFIC AVE, TACOMA, WA 98402-4303
(253) 682-1710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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