Caravaglia, Gina M
Caravaglia, Gina M is an sole proprietor health care provider with primary practice located at 67580 Jones Rd , Cathedral City CA 92234-6401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Caravaglia, Gina M can be contacted via phone (760) 992-3473.Contact Information
Primary practice address
67580 Jones Rd
Cathedral City CA 92234-6401
Phone: (760) 992-3473
Fax: (760) 797-7337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 2OA-8781 | California |
Profile Details
| NPI number | 1538147459 |
|---|---|
| LBN Legal business name | Caravaglia, Gina M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538147459 | NPPES |
| Oklahoma | MEDICAID | 200122600A |
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