Valera, Augusto Bagoyo

Valera, Augusto Bagoyo is an individual health care provider with primary practice located at 1800 Sullivan Ave Suite 405, Daly City CA 94015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Valera, Augusto Bagoyo can be contacted via phone (650) 296-2870.

Contact Information

Primary practice address
1800 Sullivan Ave Suite 405 Daly City CA 94015
Phone: (650) 296-2870
Fax: (650) 754-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A82269 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A82269 California

Profile Details

NPI number 1508902172
LBN Legal business name Valera, Augusto Bagoyo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508902172 NPPES
California MEDICAID 00A822690

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