| Joseph Gayagoy Md A Professional Corporation | |
|
999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 | |
| (209) 366-2031 | |
| (209) 366-2032 |
| Full Name | Joseph Gayagoy Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 999 S Fairmont Ave, Lodi, California |
| Authorized Official Name and Position | Joseph Gayagoy (PRESIDENT) |
| Authorized Official Contact | 2093662031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Gayagoy Md A Professional Corporation 999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 Ph: (209) 366-2031 | Joseph Gayagoy Md A Professional Corporation 999 S Fairmont Ave Suite 135 Lodi CA 95240-5100 Ph: (209) 366-2031 |
| NPI Number | 1437349982 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 01/12/2009 |
| Medicare PECOS PAC ID | 4981630167 |
|---|---|
| Medicare Enrollment ID | O20050711000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437349982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph D Gayagoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386738458 PECOS PAC ID: 5698704849 Enrollment ID: I20050809000305 |
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