Jacqueline G. Agcaoili, Md Corporation in Riverside - Internal Medicine

Jacqueline G. Agcaoili, Md Corporation - NPI 1639212574

Jacqueline G. Agcaoili, Md Corporation is a Internal Medicine in Riverside, California. Jacqueline G. Agcaoili, Md Corporation practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jacqueline G. Agcaoili, Md Corporation is 1639212574. The last update date is 2015-01-29.

Jacqueline G. Agcaoili, Md Corporation's current location address is 4440 Brockton Ave, Riverside, California. You can contact this provider via phone number 9513696191 and fax number 9513690304. The mailing address for Jacqueline G. Agcaoili, Md Corporation is 4440 Brockton Ave, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacqueline G. Agcaoili, Md Corporation
Address 4440 Brockton Ave, Riverside, California
Phone Number 9513696191
Fax Number 9513690304
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Agcaoili Gesner Jacqueline
Credentials M.D.
Telephone Number 9513696191

NPI Number Detail

NPI Number 1639212574
Provider Enumeration Date 2007-02-14
Last Updated Date 2015-01-29

Provider Mailing Address Detail

Address 4440 Brockton Ave
City Riverside
State California (CA)
Post Code 925014068
Phone Number 9513696191
Fax Number 9513690304

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A46231
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A462310 CA --

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FAQs about Jacqueline G. Agcaoili, Md Corporation

What is the Jacqueline G. Agcaoili, Md Corporation's 1639212574?

The Jacqueline G. Agcaoili, Md Corporation's NPI (National Provider Identifier) Number is 1639212574. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jacqueline G. Agcaoili, Md Corporation's facilities are geographically located?

The facilities of Jacqueline G. Agcaoili, Md Corporation are physically situated at the following location: 4440 Brockton Ave, Riverside, CA, 925014068.

What is the Jacqueline G. Agcaoili, Md Corporation's area of specialization and corresponding taxonomy classification?

The Jacqueline G. Agcaoili, Md Corporation's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1639212574 assigned to Jacqueline G. Agcaoili, Md Corporation?

The Jacqueline G. Agcaoili, Md Corporation was issued its 1639212574 on 2007-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Jacqueline G. Agcaoili, Md Corporation most recently updated or revised?

The information pertaining to Jacqueline G. Agcaoili, Md Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-29.

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