Provider Demographics
NPI: | 1184846768 |
---|---|
Name: | LARGOZA AND LARGOZA, INC |
Entity Type: | Organization |
Organization Name: | LARGOZA AND LARGOZA, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PHYSICIAN |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ARTEMIO |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LARGOZA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 559-436-0871 |
Mailing Address - Street 1: | 111 E NOBLE AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | VISALIA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 93277-2700 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 559-739-8383 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 111 E NOBLE |
Practice Address - Street 2: | |
Practice Address - City: | VISALIA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 93277-2700 |
Practice Address - Country: | US |
Practice Address - Phone: | 559-739-8383 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-05-03 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | YYY48954Y | Medicare ID - Type Unspecified |