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NPI Code Detail

MEDICARE: JOSE RANGEL

MEDICARE: JOSE RANGEL
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
1163W00000XRegistered Nurse95175623CA

General Provider Information

NPI Number : 1568026078
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE RANGEL
Provider Business Mailing Address
First Line : 314 E 30TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7308
Country : US
Telephone Number : 619-995-9237
Fax Number :
Provider Business Practice Location Address
First Line : 314 E 30TH ST
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7308
Country : US
Telephone Number : 619-995-9237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 04/30/2019

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Directions to “ JOSE RANGEL ” Practice Location

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