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NPI Code Detail

MEDICARE: ROCHELLE ANA EGGLESTON PHILAPIL MD

MEDICARE:   ROCHELLE ANA EGGLESTON PHILAPIL  MD
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
1207P00000XEmergency Medicine PhysicianA61510CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200A615100OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1265423610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCHELLE ANA EGGLESTON PHILAPIL MD
Provider Business Mailing Address
First Line : 4301 NORTHSTAR WAY
Second Line :
City : MODESTO
State : CA
Zip : 95356-9262
Country : US
Telephone Number : 209-342-2300
Fax Number : 209-524-4240
Provider Business Practice Location Address
First Line : 20103 LAKE CHABOT RD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5341
Country : US
Telephone Number : 209-342-2300
Fax Number : 209-524-4240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 07/29/2008

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Directions to “ ROCHELLE ANA EGGLESTON PHILAPIL MD” Practice Location

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