Healthcare Provider Details

I. General information

NPI: 1396162145
Provider Name (Legal Business Name): DR. FILIPINAS VITUG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6652 SAN ALANO CIR
BUENA PARK CA
90620-3738
US

IV. Provider business mailing address

6652 SAN ALANO CIR
BUENA PARK CA
90620-3738
US

V. Phone/Fax

Practice location:
  • Phone: 562-569-6737
  • Fax:
Mailing address:
  • Phone: 562-569-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: