Organization
LODI MEMORIAL HOSPITAL ASSOCIATION, INC.
Active
Parent organization
LODI MEMORIAL HOSPITAL ASSOCIATION, INC.
Other names
Lodi Memorial Community Clinic - Millsbridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
LODI MEMORIAL HOSPITAL ASSOCIATION, INC.
Authorized official
JASON WHITNEY (FINANCE OFFICER)
(209) 339-7477
Entity
Organization
Contact information
Practice address
1901 W KETTLEMAN LANE, SUITE 200, LODI, CA 95242-4337
(209) 334-8540
(209) 339-7659
Mailing address
PO BOX 884577, LOS ANGELES, CA 90088-4577
(209) 334-3411
(209) 339-7659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
550001052
CA
261QP2300X
Primary Care Clinic/Center
—
CA
Other
Enumeration date
02/04/2009
Last updated
01/06/2022
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