Organization
DOCTORS HOSPITAL OF MANTECA, INC.
Active
Other names
Doctors Hospital of Manteca
Organization subpart
No
Provider details
NPI number
Authorized official
ROB GIORGIANI (CFO)
(209) 823-8361
Entity
Organization
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 823-3111
Mailing address
PO BOX 57435, FILE 57435, LOS ANGELES, CA 90074-7435
(209) 578-2513
(209) 239-8329
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413
HUMANA
—
01
—
005073-0001
PACIFICARE OF CALIFORNIA
—
01
—
163607300
AETNA US HEALTHCARE (NATI
—
05
—
HSC00118G
—
CA
05
—
HSC30118G
—
CA
05
—
HSP40118G
—
CA
05
—
HSP40118H
—
CA
05
—
ZZR00118G
—
CA
01
—
ZZZC3910Z
BS OF CALIFORNIA
—
Enumeration date
07/05/2006
Last updated
04/29/2025
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