Table # Values
licensed_facility_listing_11 1 oshpd_id: 306394109
facility_name: LODI MEMORIAL SURGICAL GROUP
license_num: 550002052
facility_level_desc: Parent Facility
dba_address1: 999 S FAIRMONT AVE
dba_city: LODI
dba_zip_code: 95240
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-09-10
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.12117510
longitude: -121.28588480

licensed_healthcare_facility_listing 1 period: 2017-06-30
oshpd_id: 306394109
facility_name: LODI MEMORIAL SURGICAL GROUP
license_num: 550002052
facility_level_desc: Parent Facility
dba_address1: 999 S FAIRMONT AVE
dba_city: LODI
dba_zip_code: 95240
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-09-10
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 38.12117510
longitude: -121.28588480