Provider Demographics
NPI:1912199084
Name:L.C. UYTINGCO, M.D. PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:L.C. UYTINGCO, M.D. PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:CABATUANDO
Authorized Official - Last Name:UYTINGCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-620-3013
Mailing Address - Street 1:PO BOX 1127
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95381-1127
Mailing Address - Country:US
Mailing Address - Phone:209-620-3013
Mailing Address - Fax:209-668-4832
Practice Address - Street 1:1145 GEER RD
Practice Address - Street 2:SUITE A
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3381
Practice Address - Country:US
Practice Address - Phone:209-620-3013
Practice Address - Fax:209-668-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50496207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty