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GINA M CARAVAGLIA DO

Addiction Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1538147459

Individual Registrant:
 GINA M CARAVAGLIA DO
Gender: F
Sole Proprietor

Location and contact information for practice:
67580 JONES RD  CATHEDRAL CITY, CA 92234-6401 US
Tel: 760-992-3473  Fax: 760-797-7337

Contact information for business:
74 VIA MINORCA  CATHEDRAL CITY, CA 92234-1526 US
Tel: 760-992-3473  Fax: 760-797-7337

Registration Information:
NPI: 1538147459
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0401XAllopathic & Osteopathic Physicians
Family Medicine
Addiction Medicine
CA2OA-8781

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200122600AOK05




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