Search › California › 103TC0700X
Purna Datta, PH.D
NPI 1275646036 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7510 Shoreline Dr
Suite A-6
Stockton, CA 95219 - Phone
- (209) 406-6817
- Fax
- (209) 477-2935
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California