| Renato V Mungcal, Md-a Medical Corporation | |
|
133 S. Vermont Avenue Los Angeles CA 90004-5904 | |
| (213) 480-0748 | |
| (213) 480-1661 |
| Full Name | Renato V Mungcal, Md-a Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 133 S. Vermont Avenue, Los Angeles, California |
| Authorized Official Name and Position | Renato Valondo Mungcal (SOLE OWNER/PRESIDENT) |
| Authorized Official Contact | 2134800748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renato V Mungcal, Md-a Medical Corporation 133 S. Vermont Avenue Los Angeles CA 90004-5904 Ph: (213) 480-0748 | Renato V Mungcal, Md-a Medical Corporation 133 S. Vermont Avenue Los Angeles CA 90004-5904 Ph: (213) 480-0748 |
| NPI Number | 1003886847 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003886847 | NPI | - | NPPES |
| 00A425980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42598 (California) | Primary |
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