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NPI Code Detail

MEDICARE: DR. JOSE-NITRAM PANGILINAN ALILING M.D.

MEDICARE: DR. JOSE-NITRAM PANGILINAN ALILING 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
1207R00000XInternal Medicine PhysicianA101748CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10A1017480OTHERCABLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number : 1912177759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE-NITRAM PANGILINAN ALILING M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD SUITE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-5631
Country : US
Telephone Number : 310-301-8707
Fax Number :
Provider Business Practice Location Address
First Line : 100 MOODY CT STE 200
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-6082
Country : US
Telephone Number : 805-418-3500
Fax Number : 215-456-3898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2008
Last Update Date : 02/03/2025

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