Jacqueline G. Agcaoili, Md Corporation
LBN: Jacqueline G. Agcaoili, Md Corporation
Jacqueline G. Agcaoili, Md Corporation is an health care organization with primary practice located at 4440 Brockton Ave Suite 320, Riverside CA 92501-4068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Jacqueline G. Agcaoili, Md Corporation can be contacted via phone (951) 369-6191, or through Agcaoili, Jacqueline Gesner via phone (951) 369-6191.
Contact Information
Primary practice address
4440 Brockton Ave Suite 320
Riverside CA 92501-4068
Phone: (951) 369-6191
Fax: (951) 369-0304
Website:
Authorized official contact:
Name: Agcaoili, Jacqueline Gesner Doctor of Medicine (MD)
Phone: (951) 369-6191
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A46231 | California |
Profile Details
| NPI number | 1639212574 |
|---|---|
| LBN Legal business name | Jacqueline G. Agcaoili, Md Corporation |
| DBA Doing business as | |
| Authorized official | Agcaoili, Jacqueline Gesner Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jan 29th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639212574 | NPPES |
| California | MEDICAID | 00A462310 |
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