| Dr Stephen J Georgiou, MD | |
|
502 Washington Ave, Los Banos, CA 93635-4649 | |
| (209) 826-4771 | |
| (206) 826-8565 |
| Full Name | Dr Stephen J Georgiou |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 502 Washington Ave, Los Banos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851465256 | NPI | - | NPPES |
| 00G816740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G81674 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OG816740 (California) | Primary |
| Entity Name | Valley Wound Healing Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730285073 PECOS PAC ID: 2365541653 Enrollment ID: O20070627000566 |
| Entity Name | Obhg California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen J Georgiou, MD 502 Washington Ave, Los Banos, CA 93635-4649 Ph: (209) 826-4771 | Dr Stephen J Georgiou, MD 502 Washington Ave, Los Banos, CA 93635-4649 Ph: (209) 826-4771 |
Dr. Liautaud Morin Prophete Sr., D.O Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 502 Washington Ave, Los Banos, CA 93635 Phone: 209-826-4771 Fax: 209-826-8565 | |
Dr. Benny Lee Wright, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 502 Washington Ave, Los Banos, CA 93635 Phone: 209-826-4771 Fax: 209-826-8565 |