Pacita R Aducayen Incorporated | |
2250 Gladstone Dr Ste 2 Pittsburg CA 94565-5124 | |
(925) 432-6208 | |
Not Available |
Full Name | Pacita R Aducayen Incorporated |
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Speciality | Clinic/Center |
Location | 2250 Gladstone Dr Ste 2, Pittsburg, California |
Authorized Official Name and Position | Pacita R Aducayen (CEO) |
Authorized Official Contact | 9254326208 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pacita R Aducayen Incorporated 2250 Gladstone Dr Ste 2 Pittsburg CA 94565-5124 Ph: (925) 432-6208 | Pacita R Aducayen Incorporated 2250 Gladstone Dr Ste 2 Pittsburg CA 94565-5124 Ph: (925) 432-6208 |
NPI Number | 1801144142 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 10/13/2023 |
Medicare PECOS PAC ID | 0042461543 |
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Medicare Enrollment ID | O20121109000370 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801144142 | NPI | - | NPPES |
05D1059200 | Other | CA | CLIA CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A049795 (California) | Primary |
Provider Name | Pacita R Aducayen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851307219 PECOS PAC ID: 5092738625 Enrollment ID: I20060110000834 |
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Sung Ha Ryoo M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 Gladstone Dr Ste 1, Pittsburg, CA 94565 Phone: 925-432-8422 Fax: 925-432-8264 | |
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