institution
Decio Rangel, M.d., A Professional Medical Corporation
Specialist in Santa Monica, California
NPI 1861892226

Decio Rangel, M.d., A Professional Medical Corporation is a Specialist based in Santa Monica, CA. Decio Rangel, M.d., A Professional Medical Corporation practices in Santa Monica, CA. The NPI Number for Decio Rangel, M.d., A Professional Medical Corporation is 1861892226 and holds a License No. A25197 (California).

The current practice location address for Decio Rangel, M.d., A Professional Medical Corporation is 2001 Santa Monica Blvd Ste 470W, Santa Monica, CA and can be reached out via phone at 310-828-7454 and via fax at 310-828-6362. You can also correspond with Decio Rangel, M.d., A Professional Medical Corporation through the mailing address at 2001 SANTA MONICA BLVD STE 470W, SANTA MONICA, CA - 90404-2181 (mailing address contact number: 310-828-7454).

Location: 2001 Santa Monica Blvd Ste 470W, Santa Monica, CA, 90404-2181
institution
Provider Profile Details
NPI Number
1861892226
Provider Name
Decio Rangel, M.d., A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
2001 Santa Monica Blvd Ste 470W, Santa Monica, CA, 90404-2181
Phone Number
310-828-7454
Fax Number
310-828-6362
Provider Enumeration Date
09/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EA619A 01 CA MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2001 Santa Monica Blvd Ste 470W
City
State
Zip
90404-2181
Phone Number
310-828-7454
Fax Number
310-828-6362
person
Provider Business Mailing Address Details
Address
2001 Santa Monica Blvd Ste 470W
City
State
Zip
90404-2181
Phone Number
310-828-7454
Fax Number
310-828-6362
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A25197 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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