Individual
ANMOL RANGOOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8317
(310) 315-6143
Mailing address
17261 BLUE SPRUCE LN, YORBA LINDA, CA 92886-1865
(714) 267-6564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54058
CA
Other
Enumeration date
12/05/2016
Last updated
04/19/2021
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