# ALFONSO P MIGUEL JR MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043393218
- **Authorized official:** ALFONSO P MIGUEL JR. MD (PRESIDENT & OWNER)
- **Authorized official phone:** (626) 914-3835

## Contact information

- **Practice address:** 102 W ROUTE 66, SUITE A, GLENDORA, CA 91740-6247
- **Practice address phone:** (626) 914-3835
- **Practice address fax:** (626) 963-4613
- **Mailing address:** 102 W ROUTE 66, SUITE A, GLENDORA, CA 91740-6247
- **Mailing address phone:** (626) 914-3835
- **Mailing address fax:** (626) 963-4613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A23044 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A230440 | — | CA |