| M. Jacqueline Galang Inc. | |
|
1262 E North St Manteca CA 95336 | |
| (209) 239-0120 | |
| (209) 239-0102 |
| Full Name | M. Jacqueline Galang Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1262 E North St, Manteca, California |
| Authorized Official Name and Position | Christina Serna (CERTIFIED MEDICAL BILLER) |
| Authorized Official Contact | 2092390120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Jacqueline Galang Inc. 1262 E North St Manteca CA 95336-4962 Ph: (209) 239-0120 | M. Jacqueline Galang Inc. 1262 E North St Manteca CA 95336 Ph: (209) 239-0120 |
| NPI Number | 1952586067 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 1052355252 |
|---|---|
| Medicare Enrollment ID | O20050617001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952586067 | NPI | - | NPPES |
| A694260 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A69426 (California) | Primary |
| Provider Name | Mary Jacqueline Galang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972586097 PECOS PAC ID: 7315981511 Enrollment ID: I20050620000137 |
| Provider Name | Nathaniel F Galang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702043 PECOS PAC ID: 8820458797 Enrollment ID: I20230724003852 |
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