| Ovalle, M.D. | |
|
1252 Travis Blvd Ste D Fairfield CA 94533-4840 | |
| (700) 392-1193 | |
| (872) 282-0576 |
| Full Name | Ovalle, M.D. |
|---|---|
| Speciality | Family Medicine |
| Location | 1252 Travis Blvd Ste D, Fairfield, California |
| Authorized Official Name and Position | Alfredo Ovalle (MEDICAL PROVIDER) |
| Authorized Official Contact | 7073921193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ovalle, M.D. 1252 Travis Blvd Ste D Fairfield CA 94533-4840 Ph: (700) 392-1193 | Ovalle, M.D. 1252 Travis Blvd Ste D Fairfield CA 94533-4840 Ph: (700) 392-1193 |
| NPI Number | 1598597015 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598597015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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