Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY BAGAOISAN
Active Sole ProprietorJEREMY BAGAOISAN is a Assisted Living Facility healthcare provider located in POWAY, California. NPI 1770331316 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · POWAY, CA
Registration Details
- NPI Number
- 1770331316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2024 (2.286777905695 yrs)
- Last Updated
- Jul 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
14249 HIGH VALLEY RDPOWAY, CA, 920642701Browse CA providers · Browse ZIP 92064
- Phone
- 6194140243
- Fax
- 6193930517
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.