Organization
GLORY CABANILLA TANCINCO,M.D. INC.
Active
Other names
GLORY CABANILLA TANCINCO,M.D.INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORY CABANILLA TANCINCO M.D. (PHYSICIAN)
(213) 413-2280
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD, SUITE #111, LOS ANGELES, CA 90057-2216
(213) 413-2280
(213) 413-0327
Mailing address
2105 BEVERLY BLVD, SUITE #111, LOS ANGELES, CA 90057-2216
(213) 413-2280
(213) 413-0327
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
C505190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C505190
—
CA
Enumeration date
05/06/2008
Last updated
05/07/2008
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