NPI
4545 Shelley Court Opco, Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-01-08
- Last updated
- 2024-01-08
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 4545 Shelley Ct
- City
- Stockton CA
- Postal code
- 95207-7232
- Phone
- (209) 477-0271
Organization contact
- Name
- AVROHOM TRESS
- Title
- Manager
- Phone
- 3107304800
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Stockton, CA. 11,019 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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