| Harvey Hashimoto MD Inc | |
|
801 S Ham Ln #5 Lodi CA 95242 | |
| (209) 333-8066 | |
| (209) 333-1029 |
| Full Name | Harvey Hashimoto MD Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 S Ham Ln, Lodi, California |
| Authorized Official Name and Position | Harvey Hashimoto (CEO) |
| Authorized Official Contact | 2093338066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey Hashimoto MD Inc Po Box 986 Woodbridge CA 95258-0986 Ph: (209) 333-8066 | Harvey Hashimoto MD Inc 801 S Ham Ln #5 Lodi CA 95242 Ph: (209) 333-8066 |
| NPI Number | 1649241050 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649241050 | NPI | - | NPPES |
| OOG553550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G55355 (Maryland) | Primary |
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