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Organization

DR H V MUNGCAL MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRICO VALONDO MUNGCAL M.D. (CEO)
(562) 243-8895
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A49333
CA

Other

Enumeration date
06/04/2006
Last updated
08/22/2020
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