Organization
SAN JOAQUIN COUNTY CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERON ROBINSON RICE (CREDENTIALING SPECIALIST)
(209) 468-6160
Entity
Organization
Contact information
Practice address
500 W HOSPITAL RD STE A, FRENCH CAMP, CA 95231-9693
(209) 468-6820
Mailing address
500 W HOSPITAL RD STE A, FRENCH CAMP, CA 95231-9693
(209) 468-6160
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814940
—
CA
05
—
3425340
—
CA
05
—
4405340
—
CA
05
—
5475340
—
CA
05
—
5565340
—
CA
05
—
8415340
—
CA
Enumeration date
04/08/2021
Last updated
04/08/2021
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