Individual
EILEEN LUHA SICANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 W EATON AVE, TRACY, CA 95376-3420
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C151916
CA
207Q00000X
Family Medicine Physician
0101244121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780876193
—
VA
Enumeration date
08/10/2007
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us