San Joaquin Laser Surgery Center

LBN: San Joaquin Laser Surgery Center
San Joaquin Laser Surgery Center is an health care organization with primary practice located at 1805 N California St Ste 101A , Stockton CA 95204-6032. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. San Joaquin Laser Surgery Center can be contacted via phone (209) 948-5515, or through Tavares, Janee via phone (209) 948-3241.

Contact Information

Primary practice address
1805 N California St Ste 101A Stockton CA 95204-6032
Phone: (209) 948-5515
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tavares, Janee
Phone: (209) 948-3241

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 030000469 California

Profile Details

NPI number 1730112178
LBN Legal business name San Joaquin Laser Surgery Center
DBA Doing business as
Authorized official Tavares, Janee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Feb 26th, 2024 - about 2 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 1730112178 NPPES
California Other ZZZ17148Z GROUP PTAN

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