Pediatric Associates Of Stockton

LBN: Pediatric Associates Of Stockton
Pediatric Associates Of Stockton is an health care organization with primary practice located at 89 W March Ln Suite #1, Stockton CA 95207-5723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Of Stockton can be contacted via phone (209) 478-2622, or through Zumwalt, Sue via phone (209) 870-2724.

Contact Information

Primary practice address
89 W March Ln Suite #1 Stockton CA 95207-5723
Phone: (209) 478-2622
Fax: (209) 870-2754
Website:
Map and Directions
Authorized official contact:
Name: Zumwalt, Sue
Phone: (209) 870-2724

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1851384911
LBN Legal business name Pediatric Associates Of Stockton
DBA Doing business as
Authorized official Zumwalt, Sue
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1851384911 NPPES
California Other ZZZ557612 BLUE CROSS

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