Eag Professional Medical Corp
Eag Professional Medical Corp provides Psychiatry Physician services in Ceres, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1809 Central Ave Ste CCeres, CA 95307-1806 Not confirmed with CMS for 19 years — call before visiting
Phone: (209) 537-4434
Fax: (209) 551-3255
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence A68296 (CA) |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence A68296 (CA) |
Record details
| NPI number | 1841483427 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eleuterio Go — President · (209) 537-4434 |
| NPI enumerated | August 27, 2007 |
| Last updated in NPPES | October 3, 2007 |
| Mailing address | 3512 Hillglen Ave, Modesto, CA 95355-7867 |