Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lodi Memorial Hospital Association, Inc

Organization Primary Care Clinic/Center · NPI 1225285695

Lodi Memorial Hospital Association, Inc is a Primary Care Clinic/Center in Lodi, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1235 W Vine St Ste 22
Lodi, CA 95240-5109
Phone: (209) 334-8520
Fax: (209) 339-7659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 550001051 (CA)
Primary Care Clinic/Center Taxonomy 261QP2300X (CA)

Record details

NPI number1225285695
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLodi Memorial Hospital Association, Inc
Authorized official Jason Whitney — Finance Officer · (209) 339-7477
Other names Lodi Memorial Community Clinic - Vine; Lodi Memorial Community Clinic - Vine
NPI enumeratedAugust 27, 2008
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing addressPo Box 884577, Los Angeles, CA 90088-4577

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