Lodi Ave Care Center

LBN: Sutter Gould Medical Foundation
Lodi Ave Care Center is an health care organization with primary practice located at 1300 W Lodi Ave Ste P, Lodi CA 95242-3000. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Sutter Gould Medical Foundation can be contacted via phone (209) 366-1990, or through Mitnick, Steven A via phone (209) 521-6097.

Contact Information

Primary practice address
1300 W Lodi Ave Ste P Lodi CA 95242-3000
Phone: (209) 366-1990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitnick, Steven A Doctor of Medicine (MD)
Phone: (209) 521-6097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1063468106
LBN Legal business name Sutter Gould Medical Foundation
DBA Doing business as Lodi Ave Care Center
Authorized official Mitnick, Steven A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated May 6th, 2010 - about 16 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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