Alfonso P Miguel Jr MD Inc
Organization Active NPI Vascular Surgery Physician · Glendora, CA
NPI 1043393218 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1043393218
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- A23044 (CA)
- Legal business name
- ALFONSO P MIGUEL JR MD INC
- Practice address
- 102 W Route 66
Suite a
Glendora, CA 91740-6247 - Phone
- (626) 914-3835
- Fax
- (626) 963-4613
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Alfonso P Miguel Jr., MD
- Title
- President & Owner
- Phone
- (626) 914-3835
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | A23044 | CA | Yes |
Addresses
Primary practice location
102 W Route 66
Suite a
Glendora, CA 91740-6247
Mailing address
102 W Route 66
Suite a
Glendora, CA 91740-6247
Phone (626) 914-3835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A230440 | Medicaid | CA |
Other providers in Glendora, CA
- Michael Ronald Santiago Alcantara
- Anilga Alexandri
- Artin Alexandrian
- Gesmar Alfaro Ramirez
- Joaquin Alfaro
- Patrick Joseph S Alix
- Salima Allahbachayo
- Megan Allen-Smith
- Alliance Healthcare Services Inc.
- Bailey Alexis Allison
All providers in Glendora, CA · Vascular Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.