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Contact Information

GLORY C TANCINCO, MD
2105 BEVERLY BLVD
SUITE 111
LOS ANGELES, CA90057-2216
 Phone: 213-413-2280
 Fax: 213-413-0327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GLORY C TANCINCO · (Female)

NPI Number 1003033754
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 05/06/2008 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 00C505190
  • CA License # C50519
  • CA Medicaid 00C505190
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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