Provider Demographics
NPI:1649605221
Name:ALL INJURY CLINIC
Entity type:Organization
Organization Name:ALL INJURY CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUYNH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:BS,DC
Authorized Official - Phone:209-474-8274
Mailing Address - Street 1:7720 LORRAINE AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-4203
Mailing Address - Country:US
Mailing Address - Phone:209-474-8274
Mailing Address - Fax:
Practice Address - Street 1:7720 LORRAINE AVE
Practice Address - Street 2:STE 110
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-4203
Practice Address - Country:US
Practice Address - Phone:209-474-8274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies