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Contact Information

GLENN RALLECA
21615 BERENDO AVE
SUITE 600
TORRANCE, CA90502-1800
 Phone: 714-744-1767
 Fax: 951-371-5062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hemodialysis

163WH0500X
Indicates primary specialty

NPI Profile & details for GLENN RALLECA · (Male)

NPI Number 1689967242
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2011
Last updated 05/16/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # RN395986
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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