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?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY48954YMedicare ID - Type Unspecified