Provider Demographics
NPI:1003820358
Name:REMULLA, JUANCHO FRANCISCO CATIBAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUANCHO FRANCISCO
Middle Name:CATIBAYAN
Last Name:REMULLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16177 KAMANA RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1377
Mailing Address - Country:US
Mailing Address - Phone:760-946-0618
Mailing Address - Fax:760-946-0584
Practice Address - Street 1:16177 KAMANA RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1377
Practice Address - Country:US
Practice Address - Phone:760-946-0618
Practice Address - Fax:760-946-0584
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2022-02-10
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Provider Licenses
StateLicense IDTaxonomies
CAC52247207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G99495Medicare UPIN