Organization
FAMILY HEALTH CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO V MUNGCAL M.D. (PRESIDENT)
(213) 480-0748
Entity
Organization
Contact information
Practice address
133 S VERMONT AVE, LOS ANGELES, CA 90004-5904
(213) 480-0748
(213) 480-1661
Mailing address
133 S VERMONT AVE, LOS ANGELES, CA 90004-5904
(213) 480-0748
(213) 480-1661
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A42598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A425980
—
CA
Enumeration date
04/25/2017
Last updated
04/25/2017
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