Provider Demographics
NPI:1972516649
Name:FILOMENA S. PASCUAL, M.D., INC.
Entity type:Organization
Organization Name:FILOMENA S. PASCUAL, M.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FILOMENA
Authorized Official - Middle Name:SORONGON
Authorized Official - Last Name:PASCUAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-481-9515
Mailing Address - Street 1:8710 MONROE CT
Mailing Address - Street 2:STE. # 200
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4883
Mailing Address - Country:US
Mailing Address - Phone:909-481-9515
Mailing Address - Fax:909-481-9520
Practice Address - Street 1:8710 MONROE CT
Practice Address - Street 2:STE. # 200
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4883
Practice Address - Country:US
Practice Address - Phone:909-481-9515
Practice Address - Fax:909-481-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42652208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty