GLENN RALLECA (NPI# 1689967242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689967242 |
| Entity Type | Individual |
| Full Name | GLENN RALLECA |
| Practice Address |
21615 Berendo Ave Suite 600 Torrance CA 90502-1800 |
| Practice Telephone | 7147441767 |
| Practice Fax Number | 9513715062 |
| Mailing Telephone | 7147441767 |
| Mailing Fax Number | 9513715062 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
RN395986 | CA | Nursing Service Providers |
| Street Address |
21615 BERENDO AVE SUITE 600 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912027467 | Angelli Abracosa Abjelina | Dentist | 21615 Berendo Ave, Suite#100, Torrance, CA 90502-1800 | 2007-03-29 |
| 1346541455 | Joint Effort Medical LLC | Non-emergency Medical Transport (VAN) | 21615 Berendo Ave, Suite 500e, Torrance, CA 90502-1800 | 2010-11-04 |
| 1558579656 | Abjelina Dental Health, Inc. | Dentist | 21615 Berendo Ave, Suite 100, Torrance, CA 90502-1800 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573757 | By Zip Renal Care Services | Registered Nurse | 215 S Vermont Ave, Los Angeles, CA 90004-5906 | 2020-09-22 |
| 1407478100 | Russell Croteau | Registered Nurse | 3259 Acacia St, Lemon Grove, CA 91945-2539 | 2020-05-15 |
| 1467013300 | Maria Vilma Quilaton Singh | Registered Nurse | 10348 Snowy Plover Ct, Moreno Valley, CA 92557-2768 | 2019-06-21 |
| 1932762333 | Gurvinder Kaur | Registered Nurse | 237 Tamarack Dr, Union City, CA 94587-1310 | 2019-04-21 |
| 1093200818 | Mei Shih | Registered Nurse | 457 S Long Beach Blvd, Compton, CA 90221-3427 | 2018-06-25 |
| 1346421906 | Archangels Home Health Services Inc | Registered Nurse | 2319 Alameda Avenue, Ste #2c, Ventura, CA 93003 | 2007-11-23 |
| 1871649855 | Linda Jean Spoonhunter | Registered Nurse | 44 N Tu Su Ln, Bishop, CA 93514-8058 | 2007-01-25 |
| 1184681645 | Beverly Starner Bledsoe | Registered Nurse | 10758 Navajo Rd, Apple Valley, CA 92308-8023 | 2006-04-27 |
| 1437700382 | Tina Marie Rodriguez | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
Please comment or provide details below to improve the information on GLENN RALLECA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.