| Haley A Igoe, | |
|
2655 Milton Ave Apt 12, Fullerton, CA 92831-1473 | |
| (303) 257-5473 | |
| Not Available |
| Full Name | Haley A Igoe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 2655 Milton Ave Apt 12, Fullerton, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588347041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 67489 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Ent Medical Group, Inc. | 1759280274 | 6 |
| Entity Name | Pacific Ent Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336249135 PECOS PAC ID: 1759280274 Enrollment ID: O20040105000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley A Igoe, 2655 Milton Ave Apt 12, Fullerton, CA 92831-1473 Ph: Not Available | Haley A Igoe, 2655 Milton Ave Apt 12, Fullerton, CA 92831-1473 Ph: (303) 257-5473 |
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