Search › California › 101YM0800X
Agustin Rangel
NPI 1598110645 · on the registry since 2016 · sole proprietor
Practice
- Address
- 204 Hampton Dr
Venice, CA 90291 - Phone
- (310) 396-6468
- Organisation at this address
- St. Joseph Center
St. Joseph Center
St. Joseph CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 213
Additional practice sites
- 204 Hampton Dr, Venice, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 1041C0700X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California