| Organization Name: | BATONGMALAQUE MEDICAL CORPORATION |
| NPI Number: | 1043269608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNY BATONGMALAQUE (CEO) |
| Mailing Address: | 11631 Victory Blvd Suite 201 N Hollywood |
| State: | CA US |
| Postal Code: | 916063572 |
| Phone Number: | 8187609538 |
| Fax Number: | 8187609539 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3728 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |