Organization
STOCKTON NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN NGOC QUANG M.D. (PRESIDENT)
(415) 283-5772
Entity
Organization
Contact information
Practice address
1525 N EL DORADO ST, SUITE 1, STOCKTON, CA 95204-5932
(209) 465-5107
(209) 465-7653
Mailing address
1525 N EL DORADO ST, SUITE 1, STOCKTON, CA 95204-5932
(209) 465-5107
(209) 465-7653
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A111373
CA
Other
Enumeration date
09/07/2013
Last updated
02/03/2017
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