| Dr Martin L Kabongo, MD, APC | |
|
2822 E Florence Ave, Huntington Park, CA 90255-5749 | |
| (323) 923-1900 | |
| Not Available |
| Full Name | Dr Martin L Kabongo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2822 E Florence Ave, Huntington Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033168810 | NPI | - | NPPES |
| 00A550120 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A55012 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578672184 PECOS PAC ID: 3577476761 Enrollment ID: O20031211000464 |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Entity Name | Cabrillo Center For Rheumatic Disease Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689006363 PECOS PAC ID: 9739315037 Enrollment ID: O20131114001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin L Kabongo, MD, APC Po Box 232410, Suite 200, San Diego, CA 92193-2410 Ph: (858) 249-6749 | Dr Martin L Kabongo, MD, APC 2822 E Florence Ave, Huntington Park, CA 90255-5749 Ph: (323) 923-1900 |
Alyssa Gutierrez, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6208 Seville Ave, Huntington Park, CA 90255 Phone: 323-588-8855 | |
Dr. Shoaleh Yermian, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2402 E Florence Ave, Huntington Park, CA 90255 Phone: 323-581-6588 Fax: 323-581-1812 | |
Mrs. Lucy Ahumada-alba, P.A.-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 E Florence Ave, Huntington Park, CA 90255 Phone: 323-589-9384 Fax: 323-589-0358 | |
Dr. Eleanor V Azurin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3045 E Florence Ave, Huntington Park, CA 90255 Phone: 323-587-7771 Fax: 323-587-8310 | |
Dr. Daniel Tran, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2765 E Florence Ave, Huntington Park, CA 90255 Phone: 323-588-6888 Fax: 323-588-0087 | |
Romulo R. Ricaforte, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7128 Pacific Blvd # 200, Huntington Park, CA 90255 Phone: 323-583-9700 |