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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4520 - PRIMARY CARE FACILITY <br />Permit ID # PT0018798 for Record ID # PR0526860 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />SUTTER GOULD MEDICAL FOUNDATION <br />Regulated Facility: <br />2505 W HAMMER LN <br />STOCKTON, CA 95209-2839 <br />Facility ID <br />Account ID <br />Issued <br />FA0018191 <br />AR0031991 <br />1/6/2022 <br />SUTTER GOULD <br />ACCOUNTS PAYABLEATTN : Billing Address: <br />SUTTER GOULD MEDICAL FOUNDATION <br />600 COFFEE RD <br />MODESTO, CA 95355 <br />End of reportcombined.rpt