| Jagdeep Singh Tung Md Inc | |
|
1142 21st St Manhattan Beach CA 90266-2924 | |
| (714) 336-4225 | |
| (949) 502-8887 |
| Full Name | Jagdeep Singh Tung Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1142 21st St, Manhattan Beach, California |
| Authorized Official Name and Position | Jagdeep Singh Tung (DOCTOR/OWNER) |
| Authorized Official Contact | 7143364225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jagdeep Singh Tung Md Inc 1142 21st St Manhattan Beach CA 90266-2924 Ph: (714) 336-4225 | Jagdeep Singh Tung Md Inc 1142 21st St Manhattan Beach CA 90266-2924 Ph: (714) 336-4225 |
| NPI Number | 1295986859 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 09/07/2016 |
| Medicare PECOS PAC ID | 4082772728 |
|---|---|
| Medicare Enrollment ID | O20100415000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295986859 | NPI | - | NPPES |
| Provider Name | Jagdeep Singh Tung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013973783 PECOS PAC ID: 4981635554 Enrollment ID: I20050823000826 |
| Provider Name | Rosemary Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578820197 PECOS PAC ID: 3577729946 Enrollment ID: I20120730000673 |
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