Individual
MR. ASEN S RANGUELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
11818 RIVERSIDE DR, APT 221, VALLEY VILLAGE, CA 91607-4077
(818) 470-4743
Mailing address
4955 VAN NUYS BLVD, STE 411, SHERMAN OAKS, CA 91403-1801
(818) 784-1195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
538804
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
21373
CA
Other
Enumeration date
02/17/2012
Last updated
08/31/2012
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