Gina Tobalina Md Inc | |
2545 East Bidwell St Suite 110 Folsom CA 95630-6443 | |
(916) 812-8196 | |
(916) 509-9653 |
Full Name | Gina Tobalina Md Inc |
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Speciality | Family Medicine |
Location | 2545 East Bidwell St, Folsom, California |
Authorized Official Name and Position | Gina Tobalina (PRESIDENT) |
Authorized Official Contact | 9168032602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gina Tobalina Md Inc 2545 East Bidwell St Suite 110 Folsom CA 95630-6443 Ph: (916) 803-2602 | Gina Tobalina Md Inc 2545 East Bidwell St Suite 110 Folsom CA 95630-6443 Ph: (916) 812-8196 |
NPI Number | 1316206071 |
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Provider Enumeration Date | 05/15/2012 |
Last Update Date | 11/05/2012 |
Medicare PECOS PAC ID | 7012167281 |
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Medicare Enrollment ID | O20121024000284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316206071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A93320 (California) | Primary |
Provider Name | Gina Tobalina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376756833 PECOS PAC ID: 4486747441 Enrollment ID: I20070906000709 |
Provider Name | Patricia N King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053417329 PECOS PAC ID: 3678726775 Enrollment ID: I20130123000023 |
Provider Name | Haley G Roy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538940374 PECOS PAC ID: 9335591452 Enrollment ID: I20240113000801 |
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