San Joaquin Cardiology Medical Group Inc

LBN: San Joaquin Cardiology Medical Group Inc
San Joaquin Cardiology Medical Group Inc is an health care organization with primary practice located at 2800 N California St Ste 14 , Stockton CA 95204-3759. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. San Joaquin Cardiology Medical Group Inc can be contacted via phone (209) 942-1005, or through Balderston, Patty S via phone (209) 942-1005.

Contact Information

Primary practice address
2800 N California St Ste 14 Stockton CA 95204-3759
Phone: (209) 942-1005
Fax: (209) 942-0455
Website:
Map and Directions
Authorized official contact:
Name: Balderston, Patty S
Phone: (209) 942-1005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1497785455
LBN Legal business name San Joaquin Cardiology Medical Group Inc
DBA Doing business as
Authorized official Balderston, Patty S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 11th, 2011 - about 15 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 1497785455 NPPES
California MEDICAID GR0062380
California Other CC6353

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