# DR H V MUNGCAL MD, INC

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

## Provider details

- **NPI number:** 1306884945
- **Authorized official:** DR. HENRICO VALONDO MUNGCAL M.D. (CEO)
- **Authorized official phone:** (562) 243-8895

## Contact information

- **Practice address:** 2139 W 6TH ST, LOS ANGELES, CA 90057-3121
- **Practice address phone:** (562) 243-8895
- **Mailing address:** PO BOX 6129, LONG BEACH, CA 90806-0129
- **Mailing address phone:** (562) 243-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A49333 | CA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020