Organization
DECIO M RANGEL MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DECIO M RANGEL MD (OWNER)
(310) 828-7454
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD STE 470W, SANTA MONICA, CA 90404-2192
(310) 828-7454
(310) 828-6362
Mailing address
2001 SANTA MONICA BLVD STE 470W, SANTA MONICA, CA 90404-2192
(310) 828-7454
(310) 828-6362
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A25197
CA
Other
Enumeration date
12/01/2010
Last updated
04/08/2016
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