Lookup NPI Numbers from the NPI Registry
NPI Profile for JOHN J PANGALLO in KINGS BEACH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Rehabilitation Practitioner |
225400000X |
| NPI Number | 1568653905 |
|
| Status | Active | |
| Credentials | SUDRC | |
| Entity | Individual | |
| Enumeration date | 08/08/2007 | |
| Last updated | 09/18/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOHN J PANGALLO
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JOHN J PANGALLO, SUDRC