Kettleman Care Center

LBN: Sutter Gould Medical Foundation
Kettleman Care Center is an health care organization with primary practice located at 1335 S Fairmont Ave , Lodi CA 95240-5520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sutter Gould Medical Foundation can be contacted via phone (209) 366-2007, or through Mitnick, Steven A via phone (209) 521-6097.

Contact Information

Primary practice address
1335 S Fairmont Ave Lodi CA 95240-5520
Phone: (209) 366-2007
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

Profile Details

NPI number 1982648580
LBN Legal business name Sutter Gould Medical Foundation
DBA Doing business as Kettleman Care Center
Authorized official Mitnick, Steven A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 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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