Provider Demographics
NPI:1609885714
Name:GIORGI, LOUIS JOHN JR (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:JOHN
Last Name:GIORGI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:2725 CAPITOL AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6004
Practice Address - Country:US
Practice Address - Phone:916-262-9386
Practice Address - Fax:916-262-9392
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA65765208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7956699OtherAETNA
CAA65765OtherBLUE CROSS
CA00A657650Medicaid
CA1952694OtherGREAT WEST
CA256674OtherINTERPLAN
CA5666441OtherFIRST HEALTH
CA90199100OtherPACIFICARE
CA127582OtherHEALTH NET
CA00A657650OtherBLUE SHIELD
CA7711596OtherCIGNA
CAMCMG419300OtherWESTERN HEALTH ADVANTAGE
CA00A657650OtherBLUE SHIELD
CA90199100OtherPACIFICARE