Jeremy Bagaoisan
Jeremy Bagaoisan is an Assisted Living Facility in Poway, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
14249 High Valley RdPoway, CA 92064-2701
Phone: (619) 414-0243
Fax: (619) 393-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1770331316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2024 |
| Last updated in NPPES | July 25, 2024 |
| Certification date | July 25, 2024 |
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