Gaeta, Raymond R
Gaeta, Raymond R is an individual health care provider with primary practice located at 1900 Ofarrell St Ste 100, San Mateo CA 94403-1386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gaeta, Raymond R can be contacted via phone (650) 645-1100.Contact Information
Primary practice address
1900 Ofarrell St Ste 100
San Mateo CA 94403-1386
Phone: (650) 645-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G60351 | California |
Profile Details
| NPI number | 1225179823 |
|---|---|
| LBN Legal business name | Gaeta, Raymond R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jan 12th, 2015 - about 9 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 | 1225179823 | NPPES |
| California | MEDICAID | 00G603510 |
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