| Doctors On The Go Professional Group Corp | |
|
22048 Sherman Way Ste 313 Canoga Park CA 91303-3014 | |
| (213) 465-2643 | |
| Not Available |
| Full Name | Doctors On The Go Professional Group Corp |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 22048 Sherman Way Ste 313, Canoga Park, California |
| Authorized Official Name and Position | Joanna Sunshine Balasico (PRACTICE OWNER) |
| Authorized Official Contact | 2134652643 |
| 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 22048 Sherman Way Ste 313 Canoga Park CA 91303-3014 Ph: (213) 465-2643 | Doctors On The Go Professional Group Corp 22048 Sherman Way Ste 313 Canoga Park CA 91303-3014 Ph: (213) 465-2643 |
| NPI Number | 1609403807 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 09/09/2025 |
| Medicare PECOS PAC ID | 9638596836 |
|---|---|
| Medicare Enrollment ID | O20200902002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609403807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| 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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