Igi Care Inc | |
1825 Sonoma St Redding CA 96001-2519 | |
(530) 338-2406 | |
(530) 338-2408 |
Full Name | Igi Care Inc |
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Speciality | Internal Medicine |
Location | 1825 Sonoma St, Redding, California |
Authorized Official Name and Position | Hongguang Liu (PRESIDENT) |
Authorized Official Contact | 6178385402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Igi Care Inc 1825 Sonoma St Redding CA 96001-2519 Ph: (530) 338-2406 | Igi Care Inc 1825 Sonoma St Redding CA 96001-2519 Ph: (530) 338-2406 |
NPI Number | 1831455245 |
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Provider Enumeration Date | 04/10/2012 |
Last Update Date | 07/19/2019 |
Medicare PECOS PAC ID | 1254595655 |
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Medicare Enrollment ID | O20120615000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831455245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | A120683 (California) | Primary |
Provider Name | Hongguang Liu |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780892117 PECOS PAC ID: 4587858477 Enrollment ID: I20120615000174 |
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