Physician Compare National (NPI:1497041164)

HEALTHCARE PROVIDER: ERIC LE GIANG D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497041164
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143517334
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170815004313
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GIANG
	Individual professional last name
Provider First Name	ERIC
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2116 E ORANGEBURG AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	MODESTO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	953553370
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2095771411
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050464
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050726
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STANISLAUS SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050179
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EMANUEL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050557
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M