Organization
COUNTY OF SAN JOAQUIN
Active
Parent organization
SAN JOAQUIN GENERAL HOSPITAL
Other names
Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JOAQUIN GENERAL HOSPITAL
Authorized official
MS. SHEELA KAPRE MD, FCCP, FACP (CHIEF MEDICAL DIRECTOR)
(209) 468-6600
Entity
Organization
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6600
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6600
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
030000087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G01021-01
DENTI-CAL
CA
Enumeration date
12/28/2007
Last updated
08/24/2022
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