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NPI Code Detail

MEDICARE: ANGELA POJA MAHARAJ-GILL O.D.

MEDICARE: ANGELA POJA MAHARAJ-GILL O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist14955CA

General Provider Information

NPI Number : 1780099903
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA POJA MAHARAJ-GILL O.D.
Provider Business Mailing Address
First Line : 36 W YOKUTS AVE STE 1
Second Line :
City : STOCKTON
State : CA
Zip : 95207-5713
Country : US
Telephone Number : 209-952-3700
Fax Number : 209-952-0553
Provider Business Practice Location Address
First Line : 36 W YOKUTS AVE STE 1
Second Line :
City : STOCKTON
State : CA
Zip : 95207-5713
Country : US
Telephone Number : 209-952-3700
Fax Number : 209-952-0553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 01/06/2026

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