MEDICARE: ARGENT MEDICAL GROUP, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A23481	CA

General Provider Information

NPI Number	:	1083985238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARGENT MEDICAL GROUP, INCORPORATED

Provider Business Mailing Address
First Line	:	23251 MAIN ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5229
Country	:	US
Telephone Number	:	310-830-4561
Fax Number	:	310-830-0210

Provider Business Practice Location Address
First Line	:	23251 MAIN ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5229
Country	:	US
Telephone Number	:	310-830-4561
Fax Number	:	310-830-0210

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNY L BATONGMALAQUE
Credential	:	MD
Telephone Number	:	310-830-4561

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	01/19/2012

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