Provider Demographics
NPI:1306820071
Name:NAGPALA, PABLITO GARCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PABLITO
Middle Name:GARCIA
Last Name:NAGPALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2650 ELM AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1651
Mailing Address - Country:US
Mailing Address - Phone:562-595-0166
Mailing Address - Fax:562-595-0166
Practice Address - Street 1:2650 ELM AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1651
Practice Address - Country:US
Practice Address - Phone:562-595-0166
Practice Address - Fax:562-595-0166
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA814252080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0100650Medicaid
CA00A814250Medicaid
CA00A814250Medicaid
CA146863Medicare UPIN