Lodi Delta Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LODI DELTA EMERGENCY PHYSICIANS

Practice address

975 S Fairmont Ave
Lodi, CA 95240-5118

Phone

(209) 339-7575

NPI assigned

Nov 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angel L Iscovich, MD

Title

General Partner

Phone

(805) 563-3011

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1134290851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7830",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191017830",
            "telephone_number": "805-563-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405118",
            "telephone_number": "209-339-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI DELTA EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "ISCOVICH",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "805-563-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Link
• La Toya Littesy, AMFT
• Nancy A. Little, M.D.
• Lodi Advanced Medical Center PC
• Lodi Children's Clinic Medical Corporation (Lodi Children's Clinic)
• Lodi Dental Group
• Lodi Drug Company, Inc
• Lodi Health
• Lodi Kids Dentist a Professional Dental Corporation (Lodi Kids Dentist A Professional Dental Corporation DBA Lodi Kidz Dentist)
• Lodi Lifestyle Medicine & Surgery, Professional Corporation

• Emergency Medicine Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.