Lodi Memorial Hospital Association, Inc | |
801 S Ham Lane Suite S Lodi CA 95242-7501 | |
(209) 334-3411 | |
(209) 339-7659 |
Full Name | Lodi Memorial Hospital Association, Inc |
---|---|
Speciality | Clinic/Center |
Location | 801 S Ham Lane, Lodi, California |
Authorized Official Name and Position | Joseph P Harrington (CHIEF EXECUTIVE OFFICER & PRESIDENT) |
Authorized Official Contact | 2093343411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lodi Memorial Hospital Association, Inc Po Box 3004 Lodi CA 95241-1908 Ph: (209) 334-3411 | Lodi Memorial Hospital Association, Inc 801 S Ham Lane Suite S Lodi CA 95242-7501 Ph: (209) 334-3411 |
NPI Number | 1861649352 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 01/07/2011 |
Medicare PECOS PAC ID | 7618880717 |
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Medicare Enrollment ID | O20050517000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861649352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (California) | Secondary |
261QP2300X | Clinic/center - Primary Care | 550000838 (California) | Primary |
Provider Name | Nanying Li |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750498309 PECOS PAC ID: 2860397056 Enrollment ID: I20031201000731 |
Provider Name | Kenneth H Mullen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922065721 PECOS PAC ID: 1850288036 Enrollment ID: I20040302001025 |
Provider Name | James J Grady |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629036413 PECOS PAC ID: 8820988637 Enrollment ID: I20040316001390 |
Provider Name | Lisa H Ellis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245214923 PECOS PAC ID: 5092607291 Enrollment ID: I20040324001768 |
Provider Name | Richard M Porzio |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053301945 PECOS PAC ID: 3971595349 Enrollment ID: I20040402001219 |
Provider Name | Archana Lucchesi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225108533 PECOS PAC ID: 6709871346 Enrollment ID: I20040414001953 |
Provider Name | Mithu Shams Molla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508943432 PECOS PAC ID: 3678568128 Enrollment ID: I20040415000738 |
Provider Name | Gursharan Nahl |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437117322 PECOS PAC ID: 7416944210 Enrollment ID: I20040426000923 |
Provider Name | Edward Telung Chang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780637199 PECOS PAC ID: 7911980966 Enrollment ID: I20040610000734 |
Provider Name | John P Connolly |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1821000480 PECOS PAC ID: 7315858883 Enrollment ID: I20040826000731 |
Provider Name | Beien Shi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538276951 PECOS PAC ID: 5496748402 Enrollment ID: I20040903001088 |
Provider Name | Harvey J Hashimoto |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578506952 PECOS PAC ID: 4183683022 Enrollment ID: I20041006001451 |
Provider Name | Garth H Harley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194715078 PECOS PAC ID: 8426032392 Enrollment ID: I20041118000274 |
Provider Name | Kyle K Yu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407846264 PECOS PAC ID: 9537142641 Enrollment ID: I20041118000346 |
Provider Name | Nazish N Ali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932121498 PECOS PAC ID: 5890740872 Enrollment ID: I20050314000469 |
Provider Name | Dawnette C Person |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801809470 PECOS PAC ID: 5193762078 Enrollment ID: I20050412000992 |
Provider Name | De Tan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851384044 PECOS PAC ID: 1557303211 Enrollment ID: I20050524000520 |
Provider Name | Conway Lien |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336276450 PECOS PAC ID: 2466494034 Enrollment ID: I20050524000679 |
Provider Name | James Jason Cooney |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1760450092 PECOS PAC ID: 6002858396 Enrollment ID: I20050526000385 |
Provider Name | Matthew D Benedict |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528008125 PECOS PAC ID: 4789627803 Enrollment ID: I20050608001110 |
Provider Name | Matthew J Thomson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134163314 PECOS PAC ID: 9032153234 Enrollment ID: I20050617001037 |
Provider Name | Danielle K Bassett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912963984 PECOS PAC ID: 8729024740 Enrollment ID: I20050629001322 |
Provider Name | Mark L Hoff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558455618 PECOS PAC ID: 5597701011 Enrollment ID: I20050706000338 |
Provider Name | Joseph D Gayagoy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386738458 PECOS PAC ID: 5698704849 Enrollment ID: I20050809000305 |
Provider Name | Avanee S Peel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164591616 PECOS PAC ID: 3173554441 Enrollment ID: I20050825001076 |
Provider Name | Michael Klein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205826237 PECOS PAC ID: 5698708998 Enrollment ID: I20050916000465 |
Provider Name | Nancy Michelle Inforzato |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043362841 PECOS PAC ID: 9638107667 Enrollment ID: I20051215000251 |
Provider Name | Sarah E Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437161643 PECOS PAC ID: 0345264099 Enrollment ID: I20060120000193 |
Provider Name | Travers J Mcloughlin |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1619910346 PECOS PAC ID: 1951311562 Enrollment ID: I20060426000948 |
Provider Name | Mario P Sattah |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1063444768 PECOS PAC ID: 1153229414 Enrollment ID: I20060814000327 |
Provider Name | Keith Kwok |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104807569 PECOS PAC ID: 1658375670 Enrollment ID: I20060906000348 |
Provider Name | Truong Dang Quach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346358223 PECOS PAC ID: 7517962160 Enrollment ID: I20061003000601 |
Provider Name | Frank T Huang |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1013023274 PECOS PAC ID: 9638175169 Enrollment ID: I20061005000672 |
Provider Name | Roham Vatanparast |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1518151497 PECOS PAC ID: 7214023779 Enrollment ID: I20071012000691 |
Provider Name | Grant W Rogero |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1154330389 PECOS PAC ID: 5193811347 Enrollment ID: I20071018000549 |
Provider Name | Mohammad Akmal |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1356378087 PECOS PAC ID: 1557377892 Enrollment ID: I20071129000157 |
Provider Name | Ilya L Khamishon |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1275517062 PECOS PAC ID: 5799861597 Enrollment ID: I20080319000305 |
Provider Name | Narinder S Dhaliwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639175581 PECOS PAC ID: 9133207269 Enrollment ID: I20080415000491 |
Provider Name | Edmund A Freund |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740237155 PECOS PAC ID: 7315920824 Enrollment ID: I20080703000602 |
Provider Name | Lidia E Everett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700976024 PECOS PAC ID: 5991722266 Enrollment ID: I20080723000387 |
Provider Name | Daren Primack |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1215905260 PECOS PAC ID: 9931144110 Enrollment ID: I20080731000484 |
Provider Name | Rajbarinder S Hundal |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1720266059 PECOS PAC ID: 1850459892 Enrollment ID: I20081021000318 |
Provider Name | Robert M Lim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669430518 PECOS PAC ID: 9638270796 Enrollment ID: I20081113000168 |
Provider Name | Jorge A Oceguera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659384212 PECOS PAC ID: 2668533019 Enrollment ID: I20081204000344 |
Provider Name | Craig Steven Garfolo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629028923 PECOS PAC ID: 9830250653 Enrollment ID: I20081211000244 |
Provider Name | Eva Y Lew |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558322347 PECOS PAC ID: 6406918689 Enrollment ID: I20081223000007 |
Provider Name | Mark R Rose |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427055102 PECOS PAC ID: 8729163233 Enrollment ID: I20090601000299 |
Provider Name | Mohiuddin Waseem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669527594 PECOS PAC ID: 3971529389 Enrollment ID: I20091021000823 |
Provider Name | Shareef Riad |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417111477 PECOS PAC ID: 0042353336 Enrollment ID: I20100209000433 |
Provider Name | Robert B Eisenberg |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1821014820 PECOS PAC ID: 8921181199 Enrollment ID: I20100422000943 |
Provider Name | Theressia Louise Washington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992951347 PECOS PAC ID: 2668667452 Enrollment ID: I20101105000729 |
Provider Name | Wei Fan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053499863 PECOS PAC ID: 4284820903 Enrollment ID: I20101119001209 |
Provider Name | Marian Te Selle |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1932287695 PECOS PAC ID: 8527257708 Enrollment ID: I20110104001276 |
Provider Name | Hassanali Mohamedali |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1598984809 PECOS PAC ID: 0446449375 Enrollment ID: I20110107000793 |
Provider Name | Alice M Zapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932212008 PECOS PAC ID: 3577742600 Enrollment ID: I20110121000451 |
Provider Name | Nazir J Habib |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1033261250 PECOS PAC ID: 4587843164 Enrollment ID: I20110128000104 |
Provider Name | Thomas C Kreck |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1457439200 PECOS PAC ID: 6901080415 Enrollment ID: I20110407000438 |
Provider Name | Donald E Mansell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730117862 PECOS PAC ID: 9234315243 Enrollment ID: I20110509000449 |
Provider Name | Efrain Talamantes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063688802 PECOS PAC ID: 5890972772 Enrollment ID: I20110601000410 |
Provider Name | Brian Sakamoto |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962608158 PECOS PAC ID: 0648335935 Enrollment ID: I20110609000649 |
Provider Name | Sanjiv M Kaul |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1588659247 PECOS PAC ID: 0345383139 Enrollment ID: I20110808000284 |
Provider Name | Ranganathan G Madhavan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043355019 PECOS PAC ID: 5193811701 Enrollment ID: I20111220000718 |
Provider Name | Norman Dagobert Schmidt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417037250 PECOS PAC ID: 0840467486 Enrollment ID: I20120123000065 |
Provider Name | Rolando G Simeon |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457344293 PECOS PAC ID: 6709046519 Enrollment ID: I20120330000570 |
Provider Name | Voltaire R Sinigayan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023245164 PECOS PAC ID: 3870757552 Enrollment ID: I20120608000174 |
Provider Name | Emily Huang |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1568511061 PECOS PAC ID: 0345425005 Enrollment ID: I20120611000159 |
Provider Name | Fareen S Rahman |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1427248954 PECOS PAC ID: 3072637719 Enrollment ID: I20120614000756 |
Provider Name | Don Fernandez |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1972583755 PECOS PAC ID: 7810904695 Enrollment ID: I20120726000507 |
Provider Name | David Nabil Sorour |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588984330 PECOS PAC ID: 3870749070 Enrollment ID: I20120803000072 |
Provider Name | Schonze F Del Pozo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063547461 PECOS PAC ID: 9133245350 Enrollment ID: I20121228000080 |
Provider Name | Katherine Redmond-larimer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831468255 PECOS PAC ID: 0042463580 Enrollment ID: I20130110000606 |
Provider Name | Chuen-fu Lin |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20130117000110 |
Provider Name | Lingamurthy Ravi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1679542120 PECOS PAC ID: 9739160987 Enrollment ID: I20130125000002 |
Provider Name | Niv E Decalo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053511667 PECOS PAC ID: 5294921888 Enrollment ID: I20130307000371 |
Provider Name | Kourosh Khamooshian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659523975 PECOS PAC ID: 9133253958 Enrollment ID: I20130502000050 |
Provider Name | Jacqueline S Craig |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1568752152 PECOS PAC ID: 8921248030 Enrollment ID: I20130715000355 |
Provider Name | Richard Fidel Sevilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932285921 PECOS PAC ID: 1557501491 Enrollment ID: I20130717000311 |
Provider Name | Ali Jamshidi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154438372 PECOS PAC ID: 0941227359 Enrollment ID: I20130717000592 |
Provider Name | Reza Bashtar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20130802000332 |
Provider Name | Wayne H Tran |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417156126 PECOS PAC ID: 2769624360 Enrollment ID: I20130812000106 |
Provider Name | Venkat Tirumala |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1659491298 PECOS PAC ID: 3274630835 Enrollment ID: I20131121001310 |
Provider Name | Christie E Campbell |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1851597215 PECOS PAC ID: 3375792658 Enrollment ID: I20131126000620 |
Provider Name | Catherine V Carroll |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952627937 PECOS PAC ID: 3577799204 Enrollment ID: I20131202000532 |
Provider Name | Juliene Gentry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144205329 PECOS PAC ID: 8426058140 Enrollment ID: I20131205001732 |
Provider Name | Ryan E Vaccarezza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982037040 PECOS PAC ID: 8224266440 Enrollment ID: I20140116000011 |
Provider Name | Daryl L Chestney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023229457 PECOS PAC ID: 5597881821 Enrollment ID: I20140422001048 |
Provider Name | Ramya Mallareddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952609430 PECOS PAC ID: 2365669769 Enrollment ID: I20140808000008 |
Provider Name | Brittanie K Tovar |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1922415660 PECOS PAC ID: 1759500259 Enrollment ID: I20140916000667 |
Provider Name | Kathi S Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689017972 PECOS PAC ID: 7113147109 Enrollment ID: I20140924002629 |
Provider Name | Pablo R Castro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538422316 PECOS PAC ID: 5799906178 Enrollment ID: I20141028002964 |
Provider Name | Olaseni Alexander Shoroye |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20150313001140 |
Provider Name | Aarti K Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831507052 PECOS PAC ID: 4981921533 Enrollment ID: I20150319002760 |
Provider Name | Daniel A Okamoto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073803979 PECOS PAC ID: 4688890973 Enrollment ID: I20150701002541 |
Provider Name | Jaynesh A Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255633038 PECOS PAC ID: 3072826114 Enrollment ID: I20150720001015 |
Provider Name | Zubin Udwadia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922364967 PECOS PAC ID: 7618282047 Enrollment ID: I20150814012690 |
Provider Name | Harpreet Singh Parmar |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1063690717 PECOS PAC ID: 3779772256 Enrollment ID: I20150818003695 |
Provider Name | Chandana Bommireddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356665293 PECOS PAC ID: 6305078833 Enrollment ID: I20150819008730 |
Provider Name | Hana N Abuershaid |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1497164016 PECOS PAC ID: 4880900232 Enrollment ID: I20150831000744 |
Provider Name | Kristen C Macrae |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184007015 PECOS PAC ID: 9739495151 Enrollment ID: I20150831003016 |
Provider Name | Christopher Voscopoulos |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1942475538 PECOS PAC ID: 9739358698 Enrollment ID: I20150911000830 |
Provider Name | Charles C Shang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104805902 PECOS PAC ID: 0840239497 Enrollment ID: I20150916003083 |
Provider Name | Victoria Monique Laine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609134006 PECOS PAC ID: 9032427497 Enrollment ID: I20151005001044 |
Provider Name | Uzoma Raymond Chukwu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255741567 PECOS PAC ID: 7911216940 Enrollment ID: I20151014001319 |
Provider Name | Manreet Basra |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1114157484 PECOS PAC ID: 2567605900 Enrollment ID: I20151022001122 |
Provider Name | Paramvir Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346213444 PECOS PAC ID: 8022081652 Enrollment ID: I20151207002499 |
Provider Name | Ruby K Gill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609147354 PECOS PAC ID: 6507184488 Enrollment ID: I20151222000793 |
Provider Name | Manny C Zewdu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881956886 PECOS PAC ID: 3375844533 Enrollment ID: I20151223000571 |
Provider Name | Rawel Singh Randhawa |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20160209002667 |
Provider Name | Bruce M Espenshade |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265655237 PECOS PAC ID: 3072677095 Enrollment ID: I20160524000534 |
Provider Name | Srinivasa K Srinidhi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376800730 PECOS PAC ID: 5991097685 Enrollment ID: I20160718001415 |
Provider Name | Abdul W Raif Jawid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245672815 PECOS PAC ID: 8426347360 Enrollment ID: I20160920000719 |
Provider Name | Brandon Murguia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821325770 PECOS PAC ID: 0941422828 Enrollment ID: I20160928000891 |
Provider Name | Gurjit Singh Sivia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225474836 PECOS PAC ID: 2365720133 Enrollment ID: I20161028001581 |
Provider Name | Daisy Briseno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891151023 PECOS PAC ID: 8527348978 Enrollment ID: I20161201001063 |
Provider Name | Anvita Sinha |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1467463422 PECOS PAC ID: 8729154679 Enrollment ID: I20161213001317 |
Provider Name | Mohammad Albaba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861589962 PECOS PAC ID: 0345331153 Enrollment ID: I20170112001316 |
Provider Name | Melvin De La Cruz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346681293 PECOS PAC ID: 3173805926 Enrollment ID: I20170131001695 |
Provider Name | Joseph K Johnson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194906107 PECOS PAC ID: 9234230954 Enrollment ID: I20170412002215 |
Provider Name | Kambrie Y Kato |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235424284 PECOS PAC ID: 7911290069 Enrollment ID: I20170502000667 |
Provider Name | Rajeev K Samuel |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1639437965 PECOS PAC ID: 6608143540 Enrollment ID: I20170525001304 |
Provider Name | Kelly R Morrill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265886071 PECOS PAC ID: 4981986999 Enrollment ID: I20170622000771 |
Provider Name | Tony D Ha |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1477841070 PECOS PAC ID: 0042581712 Enrollment ID: I20170731001325 |
Provider Name | Haytham Aljoudi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1699969287 PECOS PAC ID: 9436246352 Enrollment ID: I20170911002983 |
Provider Name | Sital Singh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1902172406 PECOS PAC ID: 4880983287 Enrollment ID: I20170912002576 |
Provider Name | Shota Yamamoto |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1609165356 PECOS PAC ID: 6901170067 Enrollment ID: I20170928000736 |
Provider Name | Fahad Aftab |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912317421 PECOS PAC ID: 1951668029 Enrollment ID: I20171127003327 |
Provider Name | Raj K Batra |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1841302122 PECOS PAC ID: 7416219829 Enrollment ID: I20180323000723 |
Provider Name | Mona Batra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20180504002209 |
Provider Name | Barjinder Singh Sandhu |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306105531 PECOS PAC ID: 8628324811 Enrollment ID: I20180629002325 |
Provider Name | Gaurav Datta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225184765 PECOS PAC ID: 7113093055 Enrollment ID: I20180822001727 |
Provider Name | Matthew D Hermann |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477990521 PECOS PAC ID: 0345482212 Enrollment ID: I20181003002326 |
Provider Name | Mindy E Tittiger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023350501 PECOS PAC ID: 1456661008 Enrollment ID: I20181010000878 |
Provider Name | James K Nozaki |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437228541 PECOS PAC ID: 0345236196 Enrollment ID: I20181011001547 |
Provider Name | Arturo N De Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437649779 PECOS PAC ID: 9931451226 Enrollment ID: I20181015003442 |
Provider Name | Olufolajimi O Obembe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164630117 PECOS PAC ID: 7315097367 Enrollment ID: I20190123001359 |
Provider Name | Evelyn M Lorents |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003176710 PECOS PAC ID: 4880963024 Enrollment ID: I20190123001717 |
Provider Name | Molly Katherine Campbell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447652524 PECOS PAC ID: 4587902085 Enrollment ID: I20190207002107 |
Provider Name | Melissa Anne-su Huynh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710474317 PECOS PAC ID: 5092053017 Enrollment ID: I20190215002090 |
Provider Name | Lay L Khin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841475019 PECOS PAC ID: 4183786874 Enrollment ID: I20190222000853 |
Provider Name | Mario C Giudici |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558341073 PECOS PAC ID: 8527967710 Enrollment ID: I20190612003156 |
Provider Name | Robert A Cagle |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063707313 PECOS PAC ID: 2264701549 Enrollment ID: I20190711001158 |
Provider Name | Arian M Nikpour |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1205279726 PECOS PAC ID: 1951636935 Enrollment ID: I20190712001823 |
Provider Name | Khaleeq H Siddiqui |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1174803563 PECOS PAC ID: 0345577854 Enrollment ID: I20190806004153 |
Provider Name | Alexander J Nedopil |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1326482142 PECOS PAC ID: 5092045476 Enrollment ID: I20190927000732 |
Provider Name | Zachary John Plotz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730341751 PECOS PAC ID: 5890939995 Enrollment ID: I20191104000552 |
Provider Name | Gregory L Thalken |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861547317 PECOS PAC ID: 9830333541 Enrollment ID: I20191203001812 |
Provider Name | Roi M Lotan |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518175637 PECOS PAC ID: 2668572439 Enrollment ID: I20200122001356 |
Provider Name | Zachary Roeder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326305483 PECOS PAC ID: 4688802655 Enrollment ID: I20200123001697 |
Provider Name | Andrew J Martin |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1104883693 PECOS PAC ID: 0547249393 Enrollment ID: I20200207001329 |
Provider Name | John H Hotchkiss |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720259476 PECOS PAC ID: 3678880416 Enrollment ID: I20200227000615 |
Provider Name | Bader Abu Ghalyoun |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1740492214 PECOS PAC ID: 9830284165 Enrollment ID: I20200716003156 |
Provider Name | Hingwan Yu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20200721004145 |
Provider Name | Ajay Singh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215927579 PECOS PAC ID: 4880659689 Enrollment ID: I20200817001820 |
Provider Name | Randy Owen Chang |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992294268 PECOS PAC ID: 6204241847 Enrollment ID: I20210212001411 |
Provider Name | Vanessa Sosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447847801 PECOS PAC ID: 7517373848 Enrollment ID: I20210310001825 |
Provider Name | Artin Aharonian |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992740187 PECOS PAC ID: 8224098942 Enrollment ID: I20210524002220 |
Provider Name | Loui Abdelghani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912161787 PECOS PAC ID: 9931252616 Enrollment ID: I20210716002007 |
Provider Name | Rajesh Bhargava |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013995802 PECOS PAC ID: 9234020199 Enrollment ID: I20210730001511 |
Provider Name | Rabeep Grewal |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1174886881 PECOS PAC ID: 0446486070 Enrollment ID: I20210918000121 |
Provider Name | Shannon E Bownds |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518911726 PECOS PAC ID: 6901817386 Enrollment ID: I20220117000164 |
Provider Name | Jason E Fisher |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720412943 PECOS PAC ID: 5496145104 Enrollment ID: I20220216001868 |
Provider Name | Erik Olsen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386006419 PECOS PAC ID: 1759676471 Enrollment ID: I20221130002669 |
Provider Name | Mahender K Gaba |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1104896174 PECOS PAC ID: 5395841878 Enrollment ID: I20221219001825 |
Provider Name | Ryan Jean Baptiste |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20221220001399 |
Provider Name | David Serrano |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417480336 PECOS PAC ID: 3476802166 Enrollment ID: I20230417001545 |
Provider Name | Lisa Ann Merritt |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1407989973 PECOS PAC ID: 8820020753 Enrollment ID: I20230501001460 |
Provider Name | Adam Emmanuel Sierra |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780172825 PECOS PAC ID: 2062878341 Enrollment ID: I20230608000857 |
Provider Name | Elizabeth R Bender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619672144 PECOS PAC ID: 7214395052 Enrollment ID: I20230626003496 |
Provider Name | Jane L Hur |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1689019804 PECOS PAC ID: 5597980805 Enrollment ID: I20230731000997 |
Provider Name | Marcin Kopec |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407147044 PECOS PAC ID: 5799065454 Enrollment ID: I20230802002399 |
Provider Name | Murali K Meka |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245498542 PECOS PAC ID: 6406073980 Enrollment ID: I20231106003008 |
Provider Name | Jeremy D Theisen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881954501 PECOS PAC ID: 1355571746 Enrollment ID: I20231113003179 |
Provider Name | Juliana Ling Xie |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518408723 PECOS PAC ID: 6103177431 Enrollment ID: I20231115001725 |
Provider Name | Alaa Gabi |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1114281524 PECOS PAC ID: 0244479855 Enrollment ID: I20231129003466 |
Provider Name | Amy Kirby |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588616783 PECOS PAC ID: 0648276626 Enrollment ID: I20240207002563 |
Provider Name | Rebecca Jones Rohrer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225300346 PECOS PAC ID: 9133579501 Enrollment ID: I20240220004787 |
Provider Name | Danielle S Williams |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578829669 PECOS PAC ID: 1456628403 Enrollment ID: I20240318001472 |
Provider Name | Michael J Connolly |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861889909 PECOS PAC ID: 2062792542 Enrollment ID: I20240327003012 |
Provider Name | Habib Habib |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1831471093 PECOS PAC ID: 1759652159 Enrollment ID: I20240423002032 |
Provider Name | William C Fife |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366413486 PECOS PAC ID: 6800848029 Enrollment ID: I20240515001261 |
Provider Name | Hsiu Su |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518130442 PECOS PAC ID: 4789721358 Enrollment ID: I20240619002615 |
Provider Name | Trey Kamplain |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053305680 PECOS PAC ID: 6002896768 Enrollment ID: I20240627004246 |
Provider Name | Kevin J Blount |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679795538 PECOS PAC ID: 6709957327 Enrollment ID: I20240709003329 |
Provider Name | Tarundeep Singh Grewal |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1669964938 PECOS PAC ID: 3779943592 Enrollment ID: I20240724001932 |
Provider Name | Barbara Manchec |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922453216 PECOS PAC ID: 8426341629 Enrollment ID: I20241018003210 |
Provider Name | Amir Hedayati |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1770534869 PECOS PAC ID: 1557381753 Enrollment ID: I20241021000408 |
Provider Name | Bruce P Berlanstein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962499277 PECOS PAC ID: 6002887197 Enrollment ID: I20241231002717 |
Provider Name | Michael W Glass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336597582 PECOS PAC ID: 5890080659 Enrollment ID: I20250124002726 |
Provider Name | Joseph O De Jesus |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295946010 PECOS PAC ID: 9830260488 Enrollment ID: I20250205003206 |
Provider Name | Andrew Lee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1285053454 PECOS PAC ID: 6406379528 Enrollment ID: I20250331000896 |
Provider Name | Edward Missinne |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780046318 PECOS PAC ID: 2769899830 Enrollment ID: I20250404000571 |
Provider Name | Heath Armstrong Vandelinder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972713188 PECOS PAC ID: 7113989518 Enrollment ID: I20250407002916 |
Lodi Memorial Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659 | |
James S. Hoff, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521 | |
Community Medical Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121 | |
Lodi Memorial Hospital Association Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400 | |
Lodi Memorial Hospital Association, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-339-7659 | |
Lodi Children's Clinic Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Tienda Dr, Suite 102, Lodi, CA 95242 Phone: 209-368-8310 Fax: 209-368-9652 |