Provider Demographics
NPI:1538545835
Name:GIMAG HEALTHCARE
Entity type:Organization
Organization Name:GIMAG HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:MABEL
Authorized Official - Last Name:EKUNBOYEJO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:925-453-6169
Mailing Address - Street 1:4047 1ST ST STE 101&103
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-4924
Mailing Address - Country:US
Mailing Address - Phone:259-453-6169
Mailing Address - Fax:259-493-7992
Practice Address - Street 1:4047 1ST ST STE 101&103
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-4924
Practice Address - Country:US
Practice Address - Phone:259-453-6169
Practice Address - Fax:925-493-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health