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Eag Professional Medical Corp.
Child & Adolescent Psychiatry Physician in Ceres, California
NPI 1841483427

Eag Professional Medical Corp. is a Child & Adolescent Psychiatry Physician based in Modesto, CA and is specialized in Child & Adolescent Psychiatry. Eag Professional Medical Corp. practices in Ceres, CA. The NPI Number for Eag Professional Medical Corp. is 1841483427 and holds a License No. A68296 (California).

The current practice location address for Eag Professional Medical Corp. is 1809 Central Ave Ste C, Ceres, CA and can be reached out via phone at 209-537-4434 and via fax at 209-551-3255.

Location: 1809 Central Ave Ste C, Ceres, CA, 95355-7867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841483427
Provider Name
Eag Professional Medical Corp.
Credential
Provider Entity Type
Organization
Address
1809 Central Ave Ste C, Ceres, CA, 95355-7867
Phone Number
209-537-4434
Fax Number
209-551-3255
Provider Enumeration Date
08/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A682962 01 CA MEDICARE PPIN
6213236 05 CA
ZZZ01404Z 01 CA MEDICARE GROUP ID
institution
Provider Business Practice Location Address Details
Address
1809 Central Ave Ste C
City
Ceres
State
California
Zip
95307-1806
Phone Number
209-537-4434
Fax Number
209-551-3255
person
Provider Business Mailing Address Details
Address
1809 Central Ave Ste C
City
Ceres
State
California
Zip
95307-1806
Phone Number
209-537-4434
Fax Number
209-551-3255
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
A68296 (California)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
A68296 (California)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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