Individual
DR. DECIO DEMOURA RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD, #780W, SANTA MONICA, CA 90404
(310) 828-7454
(310) 828-6362
Mailing address
2001 SANTA MONICA BLVD, #780W, SANTA MONICA, CA 90404
(310) 828-7454
(310) 828-6362
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A25197
CA
2086X0206X
Surgical Oncology Physician
Primary
A25197
CA
Other
Enumeration date
10/02/2006
Last updated
05/17/2016
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