County of San Joaquin
NPI #1417407636 in Manteca, California
Provider Information
- NPI Number
- 1417407636
- Entity Type
- Organization
- Organization Name
- County of San Joaquin
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COUNTY OF SAN JOAQUIN
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 12, 2016
- Last Updated
- Apr 10, 2024
Practice Location
- Address
- 283 SPRECKELS AVE
- City
- Manteca
- State
- California
- ZIP Code
- 95336-6005
- Phone
- (209) 953-6400
Authorized Official
- Name
- MR. FARHAN FADOO, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (209) 953-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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