| Ron V. Roque, M.D., Inc. | |
|
1760 Termino Ave Suite 104 Long Beach CA 90804-2169 | |
| (562) 494-8512 | |
| (562) 494-8530 |
| Full Name | Ron V. Roque, M.D., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1760 Termino Ave, Long Beach, California |
| Authorized Official Name and Position | Ranaldo V Roque (OWNER) |
| Authorized Official Contact | 5624948512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron V. Roque, M.D., Inc. 1760 Termino Ave Suite 104 Long Beach CA 90804-2169 Ph: (562) 494-8512 | Ron V. Roque, M.D., Inc. 1760 Termino Ave Suite 104 Long Beach CA 90804-2169 Ph: (562) 494-8512 |
| NPI Number | 1558385914 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Medicare PECOS PAC ID | 0547341646 |
|---|---|
| Medicare Enrollment ID | O20080115000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558385914 | NPI | - | NPPES |
| 00A748230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A74823 (California) | Primary |
| Provider Name | Ronaldo V Roque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932397189 PECOS PAC ID: 8729998257 Enrollment ID: I20080115000326 |
Tarzana Treatment Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5190 Atlantic Ave, Long Beach, CA 90805 Phone: 818-996-1051 |
St John Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3530 Long Beach Blvd Ste 120, Long Beach, CA 90807 Phone: 562-989-1200 |
Bao Quoc Le MD. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2944 E Anaheim St, Long Beach, CA 90804 Phone: 562-599-5777 Fax: 562-433-2886 |
Salida Del Sol Ecm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5350 Atlantic Ave, Long Beach, CA 90805 Phone: 562-269-4355 |
Prohealth Partners a Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 E San Antonio Dr, Suite 6, Long Beach, CA 90807 Phone: 562-423-6441 Fax: 562-422-1301 |
Growing Healthy Together Inc., a Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3835 E 7th St, Long Beach, CA 90804 Phone: 562-473-4441 Fax: 562-473-4447 |