Provider Demographics
NPI:1639289564
Name:MICHAEL D GEILING INC
Entity type:Organization
Organization Name:MICHAEL D GEILING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GEILING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:559-781-8500
Mailing Address - Street 1:254 N KESSING ST
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3424
Mailing Address - Country:US
Mailing Address - Phone:559-781-8500
Mailing Address - Fax:559-781-8300
Practice Address - Street 1:254 N KESSING ST
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3424
Practice Address - Country:US
Practice Address - Phone:559-781-8500
Practice Address - Fax:559-781-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6847207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85405Medicare UPIN