Organization Active NPI

Dr H V Mungcal MD, Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1306884945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A49333 Issued in CA
Legal business name
DR H V MUNGCAL MD, INC
Practice address
2139 W 6TH St
Los Angeles, CA 90057-3121
Phone
(562) 243-8895
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henrico Valondo Mungcal, M.D.NPI 1750326609
Title
Ceo
Phone
(562) 243-8895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A49333 CA Primary

Addresses

Primary practice location

2139 W 6TH St
Los Angeles, CA 90057-3121

Mailing address

PO Box 6129
Long Beach, CA 90806-0129
Phone (562) 243-8895

National Provider Directory

National Provider Directory

Locations

3000 W 6th St
Ste 205
Los Angeles, CA 90020
Phone (213) 382-0017

2139 W 6th St
Los Angeles, CA 90057
Phone (213) 353-0530

547 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 304-0364

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306884945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6129",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908060129",
            "telephone_number": "562-243-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573121",
            "telephone_number": "562-243-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR H V MUNGCAL MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "HENRICO",
        "authorized_official_middle_name": "VALONDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-243-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A49333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.