Healthcare Provider Details

I. General information

NPI: 1144786831
Provider Name (Legal Business Name): VIRGINIAS TOTAL CARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 S ATLANTIC BLVD STE 302
MONTEREY PARK CA
91754-4785
US

IV. Provider business mailing address

880 S ATLANTIC BLVD STE 302
MONTEREY PARK CA
91754-4785
US

V. Phone/Fax

Practice location:
  • Phone: 626-281-8835
  • Fax: 626-281-1526
Mailing address:
  • Phone: 626-281-8835
  • Fax: 626-281-1526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALFONSO L BARRAGAN
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 626-281-8835