Kyle Joseph Goleno is a Surgical in Vallejo, California. Kyle Joseph Goleno practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kyle Joseph Goleno is 1083667851. The last update date is 2023-05-10.
Kyle Joseph Goleno's current location address is 2290 Sacramento St, Vallejo, California. You can contact this provider via phone number 7076435785 and fax number 7076438810. The mailing address for Kyle Joseph Goleno is 2290 Sacramento St, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Joseph Goleno |
|---|---|
| Address | 2290 Sacramento St, Vallejo, California |
| Phone Number | 7076435785 |
| Fax Number | 7076438810 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1083667851 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2023-05-10 |
Provider Mailing Address Detail
| Address | 2290 Sacramento St |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945902929 |
| Phone Number | 7076435785 |
| Fax Number | 7076438810 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA16376 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ97788Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the Kyle Joseph Goleno's unique identification number?
The Kyle Joseph Goleno has been assigned the NPI (National Provider Identifier) Number 1083667851 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kyle Joseph Goleno is geographically located?
The Kyle Joseph Goleno is physically situated at the following location: 2290 Sacramento St, Vallejo, CA, 945902929.
What is Kyle Joseph Goleno's area of expertise and its corresponding taxonomy classification?
The Kyle Joseph Goleno's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1083667851 to Kyle Joseph Goleno?
The Kyle Joseph Goleno received its 1083667851 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
When was the information pertaining to Kyle Joseph Goleno most recently updated or revised?
The details related to Kyle Joseph Goleno, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-10.