I. Christopher Hudlin Jr., MD, a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G50057 Issued in CA

Legal business name

I. CHRISTOPHER HUDLIN JR., MD, A PROFESSIONAL CORPORATION

Practice address

1805 N California St
Suite 310
Stockton, CA 95204-6037

Phone

(209) 941-0127

Fax

(209) 941-0155

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Celeste Gardea

Title

Office Manager

Phone

(209) 941-0127

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407917354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-941-0127",
            "fax_number": "209-941-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "SUITE 310",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046037",
            "telephone_number": "209-941-0127",
            "fax_number": "209-941-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. CHRISTOPHER HUDLIN JR., MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDEA",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "209-941-0127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G50057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G500570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuy Huynh
• Van Thi Huynh
• Christine Hwang, M.P.A.
• Syed Taqi Hyder
• Nicole Hyske
• Angelica Ibanez
• Daniela Ibarra-Hernandez
• Cassandra Ibarra
• Zilvana Ibarra
• Raquel Malapit Ibea

• Surgery Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.