MR. CHRISTIAN MARK EPILOGO AGATEP
NPI 1174147904
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Mr. Christian Mark Epilogo Agatep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHRISTIAN MARK EPILOGO AGATEP (NPI 1174147904) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Christian Mark Epilogo Agatep is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Christian Mark Agatep's NPI number?
The NPI number for Christian Mark Agatep is 1174147904. It was assigned to this individual provider in the NPPES registry on June 8, 2020.
Where is Christian Mark Agatep located?
Christian Mark Agatep practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7053.
What is Christian Mark Agatep's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Christian Mark Agatep enrolled in Medicare?
Yes. Christian Mark Agatep is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Christian Mark Agatep was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Christian Mark Epilogo Agatep · NPI 1174147904
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 8, 2020.
## Identity
- **NPI:** 1174147904 (Entity type: Individual)
- **Enumerated:** June 8, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033-1029
- **Phone:** (323) 409-7053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174147904) · Data from the CMS NPPES public registry.