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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.

Location: 2001 Santa Monica Blvd Ste 470W, Santa Monica, CA, 90404-2181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Santa Monica
State
California
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
Santa Monica
State
California
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
174400000X
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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