| Ibne Sina Community Clinic | |
|
12882 N Lower Sacramento Rd Lodi CA 95242-9225 | |
| (209) 200-3314 | |
| Not Available |
| Full Name | Ibne Sina Community Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12882 N Lower Sacramento Rd, Lodi, California |
| Authorized Official Name and Position | Samina Qamar (PRESIDENT) |
| Authorized Official Contact | 2097157888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibne Sina Community Clinic 1112 Rivergate Dr Lodi CA 95240-0555 Ph: (209) 663-0453 | Ibne Sina Community Clinic 12882 N Lower Sacramento Rd Lodi CA 95242-9225 Ph: (209) 200-3314 |
| NPI Number | 1508771577 |
|---|---|
| Provider Enumeration Date | 08/15/2026 |
| Last Update Date | 08/15/2026 |
| Certification Date | 08/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508771577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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