Panganiban, Virgilio Custodio

Panganiban, Virgilio Custodio is an sole proprietor health care provider with primary practice located at 16704 Clark Ave , Bellflower CA 90706-5204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panganiban, Virgilio Custodio can be contacted via phone (562) 925-7033.

Contact Information

Primary practice address
16704 Clark Ave Bellflower CA 90706-5204
Phone: (562) 925-7033
Fax: (562) 867-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A34146 California

Profile Details

NPI number 1114900610
LBN Legal business name Panganiban, Virgilio Custodio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Dec 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114900610 NPPES
California MEDICAID 00A341460

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