Organization
YOSEMITE INPATIENT SERVICES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L ISCOVICH M.D. (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(209) 823-3111
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
04/03/2014
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