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Organization

UNIVERSITY OF THE PACIFIC

Active
Parent organization
UNIVERSITY OF THE PACIFIC
Other names
Pacific Health Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF THE PACIFIC
Authorized official
RANAI KOCH MBA (EMR ADMINISTRATOR)
(209) 946-2994
Entity
Organization

Contact information

Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2315
(209) 946-3001
Mailing address
1041 BROOKSIDE RD COWELL WELLNESS CENTER, STOCKTON, CA 95211-0110
(209) 946-2315
(209) 946-3001

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/20/2006
Last updated
11/13/2017
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