| Enlight Consulting Co | |
|
2260 Gladstone Dr Ste 8 Pittsburg CA 94565-5125 | |
| (415) 666-2536 | |
| Not Available |
| Full Name | Enlight Consulting Co |
|---|---|
| Speciality | Internal Medicine |
| Location | 2260 Gladstone Dr Ste 8, Pittsburg, California |
| Authorized Official Name and Position | Xiao Yang (OWNER PRESIDENT) |
| Authorized Official Contact | 9253018487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlight Consulting Co 728 Pacific Ave Suite 501 San Francisco CA 94133-4449 Ph: (415) 666-2536 | Enlight Consulting Co 2260 Gladstone Dr Ste 8 Pittsburg CA 94565-5125 Ph: (415) 666-2536 |
| NPI Number | 1427459189 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 9436471448 |
|---|---|
| Medicare Enrollment ID | O20141202001872 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427459189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A94954 (California) | Primary |
| Provider Name | Xiao Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548220304 PECOS PAC ID: 2769456003 Enrollment ID: I20090302000623 |
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