Individual
DR. ROBERTO T UNGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 W CARSON ST, CARSON, CA 90745-2601
(310) 518-3054
(310) 835-1366
Mailing address
2550 PACIFIC COAST HWY, #44, TORRANCE, CA 90505-7726
(310) 944-5632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G11040
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G11040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G110400
—
CA
Enumeration date
09/07/2006
Last updated
08/17/2017
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