Renato V Mungcal, MD-a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42598 Issued in CA

Legal business name

RENATO V MUNGCAL, MD-A MEDICAL CORPORATION

Practice address

133 S. Vermont Avenue
Los Angeles, CA 90004-5904

Phone

(213) 480-0748

Fax

(213) 480-1661

NPI assigned

Jan 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renato Valondo Mungcal, M.D.

Title

Sole Owner/President

Phone

(213) 480-0748

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renato V Mungcal, MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1003886847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S. VERMONT AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S. VERMONT AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO V MUNGCAL, MD-A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "VALONDO",
        "authorized_official_title_or_position": "SOLE OWNER/PRESIDENT",
        "authorized_official_telephone_number": "213-480-0748",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renato V Mungcal, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yi Mi Ren, MD
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• Renato L. Calugcugan, DMD, Inc.
• Renato V. Mungcal, M.D., Inc.
• Meghana Renavikar, MD
• Lakeisha Renee Render
• Ashley Renderos
• Karen Renderos

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.