Healthcare Provider Details
I. General information
NPI: 1730661083
Provider Name (Legal Business Name): ACCESS PHYSICIAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2018
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4568 FEATHER RIVER DR STE D
STOCKTON CA
95219-6508
US
IV. Provider business mailing address
2819 W MARCH LN # B6-135
STOCKTON CA
95219-8209
US
V. Phone/Fax
- Phone: 916-416-3338
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RACHANDEEP
SINGH
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 916-416-3338