| Gayle Cekada Md Inc A Professional Medical Corporation | |
|
184 Casa St San Luis Obispo CA 93405-1804 | |
| (805) 903-1391 | |
| (805) 785-0367 |
| Full Name | Gayle Cekada Md Inc A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 184 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Gayle S. Cekada (PRESIDENT) |
| Authorized Official Contact | 8059031391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gayle Cekada Md Inc A Professional Medical Corporation 184 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 903-1391 | Gayle Cekada Md Inc A Professional Medical Corporation 184 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 903-1391 |
| NPI Number | 1033673173 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Medicare PECOS PAC ID | 5991043820 |
|---|---|
| Medicare Enrollment ID | O20190219000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033673173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gayle S Cekada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114996055 PECOS PAC ID: 8921133810 Enrollment ID: I20100317000508 |
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