Healthcare Provider Details

I. General information

NPI: 1790878270
Provider Name (Legal Business Name): GEORGE SARGEITS D.C., Q.M.E.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL AIR STATION LEMORE HOSPITAL 937 FRANKLIN AVENUE
LEMOORE CA
93246-0001
US

IV. Provider business mailing address

NAS LEMOORE HOSPITAL 937 FRANKLIN AVE
LEMOORE CA
93246-0001
US

V. Phone/Fax

Practice location:
  • Phone: 559-998-2604
  • Fax:
Mailing address:
  • Phone: 559-998-2604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number16047
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: