| Doctor Name: | DR. HENRICO V MUNGCAL |
| NPI Number: | 1750326609 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A49333 |
| Business Practice Address: | 1937 Pacific Ave Long Beach, CA - 908065321 |
| Business Phone Number: | 5625917302 |
| Business Fax Number: | 5625917306 |
| Mailing Address: | Po Box 6129, LONG BEACH |
| State: | CA |
| Postal Code: | 908060129 |
| Phone Number: | 5622438895 |
| Fax Number: | 5625917306 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 03/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A49333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |