HomeNPI Verification

NPI Verification

National Provider Identifier: 1134746621

Abundant Life Medical Clinic

Organization

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

Practice Address

34 RIVER POINTE WAY

LODI, CA 952400552

Phone: 805-698-6206

NPI Enumeration Date

June 30, 2020

NPI Number

1134746621

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry