Rodolfo Ventura Agbunag, MD | |
1409 E Briggsmore Ave, Modesto, CA 95355-2707 | |
(209) 550-4788 | |
Not Available |
Full Name | Rodolfo Ventura Agbunag |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 27 Years |
Location | 1409 E Briggsmore Ave, Modesto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316995111 | NPI | - | NPPES |
00A671710 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | A67171 (California) | Secondary |
208600000X | Surgery | A67171 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Rodolfo Ventura Agbunag, MD 400 Craven Rd, San Marcos, CA 92078-4201 Ph: (209) 524-1211 | Rodolfo Ventura Agbunag, MD 1409 E Briggsmore Ave, Modesto, CA 95355-2707 Ph: (209) 550-4788 |
Wei Loong Glenn Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Suite 4a5, Modesto, CA 95356 Phone: 925-200-1811 | |
Shirley Rose Ramiscal Domingo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 | |
Calvin M Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2336 Sylvan Ave, Ste C, Modesto, CA 95355 Phone: 209-551-1888 Fax: 209-551-5662 | |
Dr. Patrick James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641 | |
Matthew James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641 | |
Dr. Tony Yuk Man Tam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-579-5628 Fax: 209-579-5637 | |
Timothy A Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4788 |