Organization
STOCKTON HEALTH CARE SERVICES, INC.
Active
Other names
Lincoln Square Post Acute Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JOHNSON (CFO)
(949) 373-8373
Entity
Organization
Contact information
Practice address
1032 N LINCOLN ST, STOCKTON, CA 95203-2409
(209) 466-5341
(209) 466-5355
Mailing address
25910 ACERO STE 350, MISSION VIEJO, CA 92691-7908
(949) 441-9258
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC55186G
MEDICAID
—
Enumeration date
08/10/2009
Last updated
04/05/2024
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