Michael Jay Boling, MD | |
2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 | |
(209) 373-2859 | |
Not Available |
Full Name | Michael Jay Boling |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2401 W Turner Rd Ste 450, Lodi, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124295134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C53128 (California) | Primary |
Entity Name | Good Samaritan Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285795773 PECOS PAC ID: 6709798093 Enrollment ID: O20031104000675 |
Mailing Address | Practice Location Address |
---|---|
Michael Jay Boling, MD 1600 50th St, Sacramento, CA 95819-4409 Ph: (916) 452-3509 | Michael Jay Boling, MD 2401 W Turner Rd Ste 450, Lodi, CA 95242-2191 Ph: (209) 373-2859 |
Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444 | |
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990 | |
Dr. Cha Choukao Thao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-370-1700 | |
Dr. James R Mcfarland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St # 20, Lodi, CA 95240 Phone: 209-339-7600 Fax: 209-369-4880 | |
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 | |
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885 |