Individual
DR. ELEUTERIO ARCANGEL GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 SYLVAN AVE, STE. 500A, MODESTO, CA 95350-1500
(209) 521-5150
Mailing address
7446 RIVER NINE DR, MODESTO, CA 95356-9221
(209) 985-4813
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A68296
CA
2084P0800X
Psychiatry Physician
A68296
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A68296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A682962
MEDICARE PPIN
CA
05
—
6213236
—
CA
01
—
ZZZ01404Z
MEDICARE GROUP ID
CA
Enumeration date
03/17/2006
Last updated
03/01/2013
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