| Imgpa, Inc. | |
|
805 El Camino Real Suite B Palo Alto CA 94301-2315 | |
| (650) 329-0440 | |
| (650) 321-3589 |
| Full Name | Imgpa, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 805 El Camino Real, Palo Alto, California |
| Authorized Official Name and Position | Susan Fraser Hoffman (PHYSICIAN PARTNER) |
| Authorized Official Contact | 6503290440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imgpa, Inc. 805 El Camino Real Suite B Palo Alto CA 94301-2315 Ph: (650) 329-0440 | Imgpa, Inc. 805 El Camino Real Suite B Palo Alto CA 94301-2315 Ph: (650) 329-0440 |
| NPI Number | 1538229240 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 4981775467 |
|---|---|
| Medicare Enrollment ID | O20080611000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538229240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G60976 (California) | Primary |
| Provider Name | Jeffrey C Croke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588730618 PECOS PAC ID: 3072688621 Enrollment ID: I20080818000256 |
| Provider Name | Kathryn Renschler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982754842 PECOS PAC ID: 3173613833 Enrollment ID: I20090716000575 |
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