Central Stockton Medical Clinic

LBN: Central Stockton Medical Clinic
Central Stockton Medical Clinic is an health care organization with primary practice located at 1508 West Ln , Stockton CA 95205-3340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Stockton Medical Clinic can be contacted via phone (209) 948-2886, or through Edington, Philip A via phone (209) 948-5515.

Contact Information

Primary practice address
1508 West Ln Stockton CA 95205-3340
Phone: (209) 948-2886
Fax: (209) 948-2831
Website:
Map and Directions
Authorized official contact:
Name: Edington, Philip A Doctor of Medicine (MD)
Phone: (209) 948-5515

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1932148343
LBN Legal business name Central Stockton Medical Clinic
DBA Doing business as
Authorized official Edington, Philip A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Jan 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932148343 NPPES
California Other ZZZ25352Z GROUP PTAN

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