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General NPI Number Information
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NPI Number | 1699201897
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Entity Type | Organization
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Legal Business Name | H V MUNGCAL MD
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Dates
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Enumeration Date | 05/08/2017
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 1937 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-5321
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Country | US
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Telephone | 562-591-7302
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Fax | 562-591-7306
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Provider Business Mailing Address
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Address Line | 1937 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-5321
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Country | US
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Telephone | 562-591-7302
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Fax | 562-591-7306
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HENRICO V MUNGCAL
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Credential | M.D.
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Telephone | 562-591-7302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A49333
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License Number State | CA
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