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NPI Code Detail

MEDICARE: MARTIN RANGEL ASW

MEDICARE:   MARTIN  RANGEL  ASW
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
11041C0700XClinical Social Worker124301CA

General Provider Information

NPI Number : 1093661225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN RANGEL ASW
Provider Business Mailing Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number :
Provider Business Practice Location Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MARTIN RANGEL ASW” Practice Location

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