Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC17796 | CA |
Y | 213ER0200X | Radiology | DC17796 | CA |
NPI | 1053478966 |
---|---|
Provider Name | Glynna S Rangel |
First Address | Whittier, CA 90603-2908 |
Second Address | Whittier, CA 90603-2908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |