Organization
GOGO TECHNOLOGIES, INC.
Active
Other names
GoGoGrandparent
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BOOGAARD (OWNER/CEO)
(619) 917-5091
Entity
Organization
Contact information
Practice address
26250 EUCLID AVE FL 9, EUCLID, OH 44132-3305
(619) 917-5091
Mailing address
2268B BRYANT ST, SAN FRANCISCO, CA 94110-2804
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/27/2018
Last updated
03/25/2024
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