| Anka Lodi | |
|
458 Almond Dr Lodi CA 95240 | |
| (209) 982-4697 | |
| (209) 982-0147 |
| Full Name | Anka Lodi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 458 Almond Dr, Lodi, California |
| Authorized Official Name and Position | Gina M Vyrsotek (SENIOR QUALITY MANAGEMENT MANAGER) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anka Lodi 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Anka Lodi 458 Almond Dr Lodi CA 95240 Ph: (209) 982-4697 |
| NPI Number | 1891919163 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891919163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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