Organization
GUIDO D ABELLERA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUIDO DULAY ABELLERA M.D. (PRESIDENT)
(209) 467-6825
Entity
Organization
Contact information
Practice address
123 S COMMERCE ST, SUITE D, STOCKTON, CA 95202-2837
(209) 467-6825
(209) 467-6827
Mailing address
123 S COMMERCE ST, SUITE D, STOCKTON, CA 95202-2837
(209) 467-6825
(209) 467-6827
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A338570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A338570
—
CA
Enumeration date
08/23/2011
Last updated
11/04/2011
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