| Doctors On The Go Professional Group Corp. | |
|
3450 Wilshire Blvd Ste 1118 Los Angeles CA 90010-2227 | |
| (213) 465-2643 | |
| (213) 232-4944 |
| Full Name | Doctors On The Go Professional Group Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 3450 Wilshire Blvd Ste 1118, Los Angeles, California |
| Authorized Official Name and Position | Emma Grace Sari (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5623214421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors On The Go Professional Group Corp. 3325 Wilshire Blvd Ste 210 Los Angeles CA 90010-1718 Ph: (213) 465-2643 | Doctors On The Go Professional Group Corp. 3450 Wilshire Blvd Ste 1118 Los Angeles CA 90010-2227 Ph: (213) 465-2643 |
| NPI Number | 1609403807 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 9638596836 |
|---|---|
| Medicare Enrollment ID | O20200902002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609403807 | NPI | - | NPPES |
| Provider Name | Reynaldo L Makabali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598757577 PECOS PAC ID: 7315958485 Enrollment ID: I20060606000163 |
| Provider Name | Gemelia M Holgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972616100 PECOS PAC ID: 7719045111 Enrollment ID: I20101109001010 |
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