Dr. Elmo Michael Agatep
Family Doctor - Sports Medicine
1198 Pacific Coast Hwy Ste I
Seal Beach
, California 90740-6248
Dr. Elmo Michael Agatep
Family Doctor - Sports Medicine
1198 Pacific Coast Hwy Ste I
Seal Beach
, California 90740-6248
(562) 594-5627
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Elmo Michael Agatep
- 1198 Pacific Coast Hwy Ste 1
- Seal Beach, CA
- Zip : 90740-6251
- Fax : (562) 594-5627
- Phone : (562) 799-7071
Second Address
- Dr. Elmo Michael Agatep
- 1198 Pacific Coast Hwy Ste I
- Seal Beach, CA
- Zip : 90740-6248
- Fax : (562) 594-5627
- Phone : (562) 799-7071
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | A85575 | CA |
National Provider Identifier
| NPI | 1043228224 |
|---|---|
| Provider Name | Dr. Elmo Michael Agatep |
| First Address | Seal Beach, CA 90740-6251 |
| Second Address | Seal Beach, CA 90740-6248 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 08/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.