| E P Magalong Jr Md Inc | |
|
1050 Marina Village Pkwy Ste 101 Alameda CA 94501-1033 | |
| (510) 227-5540 | |
| (510) 788-6849 |
| Full Name | E P Magalong Jr Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 Marina Village Pkwy Ste 101, Alameda, California |
| Authorized Official Name and Position | Elpidio Posa Magalong (PRESIDENT) |
| Authorized Official Contact | 5102275540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E P Magalong Jr Md Inc 1050 Marina Village Pkwy Ste 101 Alameda CA 94501-1033 Ph: (510) 227-5540 | E P Magalong Jr Md Inc 1050 Marina Village Pkwy Ste 101 Alameda CA 94501-1033 Ph: (510) 227-5540 |
| NPI Number | 1124787171 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 5294102604 |
|---|---|
| Medicare Enrollment ID | O20221027001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124787171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elpidio P Magalong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992773279 PECOS PAC ID: 2567464647 Enrollment ID: I20070201000560 |
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