| Gilroy Family Medical Group, Inc | |
|
9460 No Name Uno #115 Gilroy CA 95020 | |
| (408) 842-3133 | |
| (408) 842-2229 |
| Full Name | Gilroy Family Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9460 No Name Uno, Gilroy, California |
| Authorized Official Name and Position | Roger F Lucero (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 4088423133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilroy Family Medical Group, Inc 9460 No Name Uno #115 Gilroy CA 95020 Ph: (408) 842-3133 | Gilroy Family Medical Group, Inc 9460 No Name Uno #115 Gilroy CA 95020 Ph: (408) 842-3133 |
| NPI Number | 1821162884 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821162884 | NPI | - | NPPES |
| ZZZ57748Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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