Organization
J PUANGCO M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE PUANGCO M.D. (CEO)
(323) 375-4266
Entity
Organization
Contact information
Practice address
21932 ANNETTE AVE, LAKE FOREST, CA 92630-1811
(323) 375-4266
Mailing address
21932 ANNETTE AVE, LAKE FOREST, CA 92630-1811
(323) 375-4266
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
A91074
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A91074
CA
2084N0400X
Neurology Physician
Primary
A91074
CA
2084N0600X
Clinical Neurophysiology Physician
A91074
CA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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