| Doctor Name: | ROY EUGENE GARIBAY TABIGO ON |
| NPI Number: | 1689944639 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A120169 |
| Business Practice Address: | 311 W I St Los Banos, CA - 936353479 |
| Business Phone Number: | 2098262222 |
| Business Fax Number: | |
| Mailing Address: | 460 N Mercey Springs Rd, Unit C LOS BANOS |
| State: | CA |
| Postal Code: | 936357416 |
| Phone Number: | 9174556483 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2012 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A120169 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |