Mayo, Abelardo Verceles

Mayo, Abelardo Verceles is an individual health care provider with primary practice located at 1300 W Lodi Ave Suite P, Lodi CA 95242-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mayo, Abelardo Verceles can be contacted via phone (209) 369-7493.

Contact Information

Primary practice address
1300 W Lodi Ave Suite P Lodi CA 95242-3000
Phone: (209) 369-7493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A54901 California

Profile Details

NPI number 1487610531
LBN Legal business name Mayo, Abelardo Verceles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487610531 NPPES
California MEDICAID 00A549010

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