Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 22824 | CA |
NPI | 1003969395 |
---|---|
Provider Name | Dr. Carlos Rangel |
First Address | Bakersfield, CA 93305-4910 |
Second Address | Bakersfield, CA 93305-4910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 01/04/2014 |