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

San Joaquin Laser and Surgery Center

Organization Ambulatory Surgical Clinic/Center · NPI 1730112178

San Joaquin Laser and Surgery Center is an Ambulatory Surgical Clinic/Center in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1805 N California St Ste 101A
Stockton, CA 95204-6032
Phone: (209) 948-5515
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 030000469 (CA)

Record details

NPI number1730112178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janee Tavares — Adminstrator · (209) 948-3241
Other names San Joaquin Laser & Surgery Center
NPI enumeratedJuly 9, 2006
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address1805 N California St Ste 101a, Stockton, CA 95204-6032

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