Healthcare Provider Details

I. General information

NPI: 1194843482
Provider Name (Legal Business Name): CARMELITA H.MAPOY.M.D.INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9542 ARTESIA BLVD BELLFLOWER HOSPITAL ANESTHESIA DEPARTMENT
BELLFLOWER CA
90706-6511
US

IV. Provider business mailing address

19321 POSEIDON AVE
CERRITOS CA
90703-6820
US

V. Phone/Fax

Practice location:
  • Phone: 562-925-8355
  • Fax:
Mailing address:
  • Phone: 562-630-3411
  • Fax: 562-630-2282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA54150
License Number StateCA

VIII. Authorized Official

Name: DR. CARMELITA H. MAPOY
Title or Position: PRES.
Credential: M.D.
Phone: 562-630-3411