Organization
WINSTON C SAN AGUSTIN, M.D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ILIZALITURRI (SECRETARY)
(626) 458-1207
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE, SUITE 102, MONTEREY PARK, CA 91754-1242
(626) 288-9701
(626) 288-9705
Mailing address
2168 S ATLANTIC BLVD, PMB 309, MONTEREY PARK, CA 91754-6839
(626) 458-1207
(626) 458-9981
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A039652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861573453
NPI
CA
Enumeration date
04/24/2007
Last updated
08/22/2020
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