Individual
DR. ALFONSO RAGUS LLACUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 W ANAHEIM ST, WILMINGTON, CA 90744-4417
(310) 835-1245
Mailing address
128 W ANAHEIM ST, WILMINGTON, CA 90744-4417
(310) 835-1245
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A48198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A481982
—
CA
Enumeration date
07/05/2007
Last updated
07/09/2007
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