Pacific Heart and Vascular Medical Group
Pacific Heart and Vascular Medical Group provides Cardiovascular Disease Physician services in Stockton, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1801 E March Ln Ste D400Stockton, CA 95210-5667
Phone: (209) 464-3615
Fax: (209) 464-1311
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Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence FNP33233 (CA) |
|---|
Record details
| NPI number | 1649208463 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katherine Bohna — Supervisor · (209) 464-3615 |
| NPI enumerated | June 29, 2006 |
| Last updated in NPPES | March 2, 2020 |
| Certification date | March 2, 2020 |
| Mailing address | 1801 E March Lane, Suite D400, Stockton, CA 95210-5667 |
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