Organization · NPI-2

Aaa Medical Corp

Pediatrics, Neonatal-Perinatal Medicine · Stockton, CA

NPI number1851055305
StatusActive
Last updated in NPPESOct 29, 2021

Details

NPI
1851055305
Entity type
Organization (NPI-2)
Legal business name
Aaa Medical Corp
Organization subpart
No
Enumeration date
Oct 29, 2021
Certification date
Oct 29, 2021
Last updated
Oct 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080N0001X Pediatrics, Neonatal-Perinatal Medicine––Yes

Practice location

1800 N California St
Stockton, CA 95204-6019

Phone 209-943-2000

Mailing address

2160 N Stokes Ct
Visalia, CA 93291-8495

Phone 571-277-2091

Authorized official

Ahmad Abdelaziz Aboaziza
Authorized Official/Sole Owner
5712772091

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