MEDICARE: NOEMI 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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1952513020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEMI RANGEL

Provider Business Mailing Address
First Line	:	2124 MAGNOLIA AVE APT 5
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-4531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 MAGNOLIA AVE APT 5
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-4531
Country	:	US
Telephone Number	:	562-733-1147
Fax Number	:	562-733-1157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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Directions to “ NOEMI RANGEL ” Practice Location

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