Organization
COMMUNITY MEDICAL CENTERS INC
Active
Organization
COMMUNITY MEDICAL CENTERS INC
Active
Other names
CMC, Lodi Vine Pediatrics, Suite 100
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE NOGUERA (CEO)
(209) 373-2831
Entity
Organization
Contact information
Practice address
2415 W VINE ST STE 100, LODI, CA 95242-3731
(209) 333-3135
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
07/05/2019
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