Doctor Name: | ROY CASIPIT |
NPI Number: | 1063673994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 247204069 |
Business Practice Address: | 3534 Temecula Ct Merced, CA - 953489511 |
Business Phone Number: | 2097233085 |
Business Fax Number: | 2097233085 |
Mailing Address: | 3534 Temecula Ct, MERCED |
State: | CA |
Postal Code: | 953489511 |
Phone Number: | 2097233085 |
Fax Number: | 2097233085 |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 06/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 177F00000X |
License Number: | 247204069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Lodging |
Taxonomy Specialization: | |
Taxonomy Definition: | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |