Celerino Bacal Brucal, MD is a
Internal Medicine physician based in Sunland, California. Celerino Bacal Brucal is licensed to practice in California (license number A40208) and his current practice location is 8524 Tujunga Valley St, Sunland, California. He can be reached at his office (for appointments etc.) via phone at
(818) 353-1533.
NPI number for Celerino Bacal Brucal is 1790875011 and his current mailing address is 8524 Tujunga Valley St, Sunland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790875011.
Physician's Profile
| Full Name | Celerino Bacal Brucal |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8524 Tujunga Valley St, Sunland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790875011
- Provider Enumeration Date: 10/15/2006
- Last Update Date: 04/02/2008
Medical Identifiers
Medical identifiers for Celerino Bacal Brucal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790875011 | NPI | - | NPPES |
| 00A402080 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | A40208 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Celerino Bacal Brucal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Celerino Bacal Brucal, MD
8524 Tujunga Valley St,
Sunland, CA 91040-2358
Ph: (818) 353-1533 | Celerino Bacal Brucal, MD
8524 Tujunga Valley St,
Sunland, CA 91040-2358
Ph: (818) 353-1533 |
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