Provider Demographics
NPI:1144786831
Name:VIRGINIAS TOTAL CARE MEDICAL GROUP INC
Entity type:Organization
Organization Name:VIRGINIAS TOTAL CARE MEDICAL GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARRAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-281-8835
Mailing Address - Street 1:880 S ATLANTIC BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-4785
Mailing Address - Country:US
Mailing Address - Phone:626-281-8835
Mailing Address - Fax:626-281-1526
Practice Address - Street 1:880 S ATLANTIC BLVD STE 302
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-4785
Practice Address - Country:US
Practice Address - Phone:626-281-8835
Practice Address - Fax:626-281-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty