Stockton Medical Plaza Primary Care

LBN: Sutter Gould Medical Foundation
Stockton Medical Plaza Primary Care is an health care organization with primary practice located at 2505 W Hammer Ln , Stockton CA 95209-2839. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, 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) 957-7050, or through Mitnick, Steven A via phone (209) 521-6097.

Contact Information

Primary practice address
2505 W Hammer Ln Stockton CA 95209-2839
Phone: (209) 957-7050
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 G32207 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G25105 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G41310 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A16204 California

Profile Details

NPI number 1154352771
LBN Legal business name Sutter Gould Medical Foundation
DBA Doing business as Stockton Medical Plaza Primary Care
Authorized official Mitnick, Steven A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 3rd, 2012 - about 14 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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