Elmo M Agatep (NPI# 1043228224, PAC ID# 9638257843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043228224 |
| PAC ID by PECOS | 9638257843 |
| Professional Enrollment ID | I20080428000593 |
| Full Name | Elmo M Agatep |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Address |
1198 Pacific Coast Hwy Suite I Seal Beach CA 90740-6248 |
| Phone Number | 5627997071 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931143799 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 | 5627997071 | CENTERS FOR FAMILY MEDICINE |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rae Park | Family Medicine | Centers for Family Medicine | 10601 Walker St, Suite 250, Cypress, CA 90630-4733 |
| Au-co Ly Nguyen | Family Medicine | Centers for Family Medicine | 13930 Seal Beach Blvd, Seal Beach, CA 90740-5301 |
| Faranak Chloe Ghazi | Family Medicine | Centers for Family Medicine | 29873 Santa Margarita Pkwy, Suite 100, Rancho Santa Margarita, CA 92688-3626 |
| Bassam R Bilal | Internal Medicine | Centers for Family Medicine | 30281 Golden Lantern, Laguna Niguel, CA 92677-5979 |
| Dora Akuetteh Saforo | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Shahnoos Mahdavi | Internal Medicine | Centers for Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720-2334 |
| Gary Paul Korff | Family Medicine | Centers for Family Medicine | 2562 State St D, Carlsbad, CA 92008-1663 |
| Lothar Mcmillian | Family Medicine | Centers for Family Medicine | 724 S El Camino Real, San Clemente, CA 92672-4250 |
| Lizander C Pandy | Family Medicine | Centers for Family Medicine | 32312 Camino Capistrano, San Juan Capistrano, CA 92675-4518 |
| Randall V Ricketts | Family Medicine | Centers for Family Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 |
| Street Address |
1198 PACIFIC COAST HWY SUITE I |
| City | SEAL BEACH |
| State | CA |
| Zip | 90740-6248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard K Bland | Family Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Gregory R Kimball | Family Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Laura L Mc Ewan | Nurse Practitioner | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Christopher P Nguyen | Internal Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Cindy C Zia | Family Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Christine L Carreon | Nurse Practitioner | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| John J Lloyd | Family Practice | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaylie Fisher | Physical Therapy | Complete Balance Solution Institute of Physiotherapy Inc | 13001 Seal Beach Blvd, Suite 100, Seal Beach, CA 90740-2753 |
| Angela Marie Mandas | Qualified Speech Language Pathologist | Complete Balance Solution Institute of Physiotherapy Inc | 13001 Seal Beach Blvd, Suite 100, Seal Beach, CA 90740-2753 |
| Patricia F Huber | Clinical Social Worker | 13001 Seal Beach Blvd, Suite 360, Seal Beach, CA 90740-2753 | |
| Laura Gonzalez | Physical Therapy | Complete Balance Solution Institute of Physiotherapy Inc | 13001 Seal Beach Blvd, Suite 100, Seal Beach, CA 90740-2753 |
| Laura Siemens | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Andrew Minh Duong | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Randy Stuck | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Brandon Wong | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Erin M Likert | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Tony Phan | Physical Therapy | Rossmoor Rehabilitation Inc | 12501 Seal Beach Blvd, Suite 210, Seal Beach, CA 90740-2755 |
| Find all physicians in zip 90740 | |||
| City | SEAL BEACH |
| Zip Code | 90740 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SEAL BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elmo M Agatep.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.