Organization
COUNTY OF SAN JOAQUIN
Active
Other names
San Joaquin General Hospital Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEELA KAPRE MD, FCCP, FACP (CHIEF MEDICAL OFFICER)
(209) 468-6600
Entity
Organization
Contact information
Practice address
500 WEST HOSPITAL RD, FRENCH CAMP, CA 95231
(209) 468-6937
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6937
(209) 468-7042
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0609571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH05097
—
CA
Enumeration date
05/15/2007
Last updated
08/24/2022
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