Gary A Incaudo
Allergist & Immunologist Pediatric Allergist
145 Mission Ranch Blvd Suite 110
Chico
, California 95926-2175
Gary A Incaudo
Allergist & Immunologist Pediatric Allergist
145 Mission Ranch Blvd Suite 110
Chico
, California 95926-2175
(530) 896-2209
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Gary A Incaudo
- 145 Mission Ranch Blvd Suite 110
- Chico, CA
- Zip : 95926-2175
- Fax : (530) 896-2209
- Phone : (530) 896-2200
Second Address
- Gary A Incaudo
- 145 Mission Ranch Blvd Suite 110
- Chico, CA
- Zip : 95926-2175
- Fax : (530) 896-2209
- Phone : (530) 896-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | G27753 | CA |
| N | 2080P0201X | Pediatric Allergist | G27753 | CA |
National Provider Identifier
| NPI | 1194742106 |
|---|---|
| Provider Name | Gary A Incaudo |
| First Address | Chico, CA 95926-2175 |
| Second Address | Chico, CA 95926-2175 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 18/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G277530 | (05) | CA |
| A43481 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.