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NPI Code Detail

MEDICARE: DR. GLENN GERARD ABANO VALENZUELA M.D.

MEDICARE:  DR. GLENN GERARD ABANO VALENZUELA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA93968CA

General Provider Information

NPI Number : 1033306220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLENN GERARD ABANO VALENZUELA M.D.
Provider Business Mailing Address
First Line : 2420 CAMINO RAMON
Second Line : SUITE 270
City : SAN RAMON
State : CA
Zip : 94583-4385
Country : US
Telephone Number : 925-543-0140
Fax Number :
Provider Business Practice Location Address
First Line : 500 NE MULTNOMAH ST
Second Line : SUITE 100
City : PORTLAND
State : OR
Zip : 97232-2099
Country : US
Telephone Number : 503-813-3860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 02/11/2022

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Directions to “ DR. GLENN GERARD ABANO VALENZUELA M.D.” Practice Location

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