Eag Professional Medical Corp. in Modesto - Psychiatry
Eag Professional Medical Corp. - NPI 1841483427
Eag Professional Medical Corp. is a Psychiatry in Modesto, California. Eag Professional Medical Corp. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Eag Professional Medical Corp. is 1841483427. The last update date is 2007-10-03.
Eag Professional Medical Corp.'s current location address is 3512 Hillglen Ave, Modesto, California. You can contact this provider via phone number 2099854813 and fax number 2095513255. The mailing address for Eag Professional Medical Corp. is 3512 Hillglen Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eag Professional Medical Corp. |
|---|---|
| Address | 3512 Hillglen Ave, Modesto, California |
| Phone Number | 2099854813 |
| Fax Number | 2095513255 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Go Arcangel Eleuterio |
| Credentials | M.D. |
| Telephone Number | 2095374434 |
NPI Number Detail
| NPI Number | 1841483427 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 3512 Hillglen Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953557867 |
| Phone Number | 2099854813 |
| Fax Number | 2095513255 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A68296 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A682962 | CA | MEDICARE PPIN | |
| 6213236 | CA | -- | |
| ZZZ01404Z | CA | MEDICARE GROUP ID |
Post Comment/ Review Below
What is the Eag Professional Medical Corp.'s 1841483427?
The Eag Professional Medical Corp.'s NPI (National Provider Identifier) Number is 1841483427. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Eag Professional Medical Corp. is geographically located?
The Eag Professional Medical Corp. is physically situated at the following location: 3512 Hillglen Ave, Modesto, CA, 953557867.
What is the area of specialization for Eag Professional Medical Corp., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eag Professional Medical Corp. is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
When did the Eag Professional Medical Corp. receive its 1841483427?
The Eag Professional Medical Corp. was issued its 1841483427 on 2007-08-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Eag Professional Medical Corp., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eag Professional Medical Corp., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-03.
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