DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAO CHOUA VANG

Active Sole Proprietor

Methadone Clinic · STOCKTON, CA

Registration Details

NPI Number
1326191677
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2007 (19.250960979684 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
1111 N EL DORADO ST
STOCKTON, CA, 952021305
Browse CA providers · Browse ZIP 95202
Phone
2099380228
Fax
2099380281
Primary Specialty
Methadone Clinic
261QM2800X

Other Methadone Clinic Providers in STOCKTON, CA

Name Credential NPI
MR. DA HER 1285797514
MR. DENG VUE COUNSELOR 1750447199
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.