| La Loma Medical Office, Inc. | |
|
3022 International Blvd Suite 312 Oakland CA 94601-2224 | |
| (510) 261-1677 | |
| (510) 261-1650 |
| Full Name | La Loma Medical Office, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3022 International Blvd, Oakland, California |
| Authorized Official Name and Position | Esteban Daniel Lovato (PHYSICIAN) |
| Authorized Official Contact | 5102611677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Loma Medical Office, Inc. 3022 International Blvd Suite 312 Oakland CA 94601-2224 Ph: (510) 261-1677 | La Loma Medical Office, Inc. 3022 International Blvd Suite 312 Oakland CA 94601-2224 Ph: (510) 261-1677 |
| NPI Number | 1124165055 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 2567648280 |
|---|---|
| Medicare Enrollment ID | O20110513000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124165055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Esteban Lovato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376610923 PECOS PAC ID: 0547446262 Enrollment ID: I20110513000628 |
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