Organization
VALLEY PERINATAL & GENETICS DIAGNOSTIC CENTER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASBIR SINGH GILL MD (PRESIDENT)
(209) 334-6583
Entity
Organization
Contact information
Practice address
1617 N CALIFORNIA ST, STE. 2D, STOCKTON, CA 95204-6117
(209) 933-9888
(209) 933-9988
Mailing address
PO BOX 967, LODI, CA 95241-0967
(209) 334-1800
(209) 334-2416
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G460810
CA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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