Organization · NPI-2
Alfonso Barragan M D INC
General Practice · Monterey Park, CA
NPI number1043583875
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1043583875
- Entity type
- Organization (NPI-2)
- Legal business name
- Alfonso Barragan M D INC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2012
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 208600000X | Surgery | – | – |
Practice location
880 S Atlantic Blvd Ste 302Monterey Park, CA 91754-4785
Phone 626-281-8835 · Fax 626-281-1526
Mailing address
880 S Atlantic Blvd Ste 302Monterey Park, CA 91754-4785
Phone 626-281-8835 · Fax 626-281-1526
Authorized official
Alfonso L Barragan
Owner
6262818835
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