| Madelaine Aquino, M.d. Inc. | |
|
10200 Trinity Pkwy Suite 207 Stockton CA 95219-7286 | |
| (209) 943-6740 | |
| (209) 943-6744 |
| Full Name | Madelaine Aquino, M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10200 Trinity Pkwy, Stockton, California |
| Authorized Official Name and Position | Madelaine Mabunga Aquino (PRESIDENT) |
| Authorized Official Contact | 2099436740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madelaine Aquino, M.d. Inc. 10200 Trinity Pkwy Suite 207 Stockton CA 95219-7286 Ph: (209) 943-6740 | Madelaine Aquino, M.d. Inc. 10200 Trinity Pkwy Suite 207 Stockton CA 95219-7286 Ph: (209) 943-6740 |
| NPI Number | 1518188366 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 8224136957 |
|---|---|
| Medicare Enrollment ID | O20070604000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518188366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 07-00087928 (California) | Primary |
| Provider Name | Madelaine Aquino |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841379856 PECOS PAC ID: 5890779151 Enrollment ID: I20040722000852 |
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