MEDICARE: MADELEINE FRANCESCA PUIG MD

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	207W00000X	Ophthalmology Physician	A206515	CA

General Provider Information

NPI Number	:	1912560251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE FRANCESCA PUIG MD

Provider Business Mailing Address
First Line	:	4401 ATLANTIC AVE STE 410
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 ATLANTIC AVE STE 410
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2263
Country	:	US
Telephone Number	:	562-426-3925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	01/12/2026

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