GLORY CABANILLA TANCINCO,M.D. INC. (NPI# 1922274257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922274257 |
| Entity Type | Organization |
| Organization Name | GLORY CABANILLA TANCINCO,M.D. INC. |
| Other Organization Name | GLORY CABANILLA TANCINCO,M.D.INC. |
| Practice Address |
2105 Beverly Blvd Suite #111 Los Angeles CA 90057-2216 |
| Practice Telephone | 2134132280 |
| Practice Fax Number | 2134130327 |
| Mailing Telephone | 2134132280 |
| Mailing Fax Number | 2134130327 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. GLORY CABANILLA TANCINCO (PHYSICIAN) |
| Authorized Official Telephone | 2134132280 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
C505190 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C505190 | 05 |
| Other Name | Type Code |
|---|---|
| GLORY CABANILLA TANCINCO,M.D.INC. | Doing Business As Name - Organization |
| Street Address |
2105 BEVERLY BLVD SUITE #111 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063400380 | Abdul Rab Khan | General Practice | 2105 Beverly Blvd, Suite 231, Los Angeles, CA 90057-2216 | 2005-10-11 |
| 1457861429 | Cristina Chiong-antonio | Physical Therapist | 2105 Beverly Blvd, Los Angeles, CA 90057-2216 | 2017-10-04 |
| 1366802852 | Alfie Roman D. Chan | Physical Therapist | 2105 Beverly Blvd, Suite 231, Los Angeles, CA 90057 | 2016-02-26 |
| 1063886315 | Beverly Multispecialty Clinic Inc | Internal Medicine | 2105 Beverly Blvd, Ste 111, Los Angeles, CA 90057-2216 | 2015-11-24 |
| 1558792283 | Noblequest Health Foundation, Inc. | Clinic/Center | 2105 Beverly Blvd, 231, Los Angeles, CA 90057 | 2013-12-05 |
| 1346580826 | Jessica Esther Aguiamos | Social Worker | 2105 Beverly Blvd, Los Angeles, CA 90057-2216 | 2013-02-21 |
| 1346590098 | Sangdo Park, M.d., A Professional Corporation | Orthopaedic Surgery | 2105 Beverly Blvd, Suite 223, Los Angeles, CA 90057-2216 | 2012-09-10 |
| 1225307382 | Jay J. Chobdee, Dds A Professional Corporation | Dentist | 2105 Beverly Blvd, #101, Los Angeles, CA 90057-2216 | 2011-12-19 |
| 1124351713 | Orbit Care Inc | Internal Medicine | 2105 Beverly Blvd, Ste 231, Los Angeles, CA 90057-2216 | 2009-09-14 |
| 1164656187 | Annabella B Chu Dmd Inc | Dentist | 2105 Beverly Blvd, Ste. 215, Los Angeles, CA 90057-2216 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891940078 | Susan Firestone | Anesthesiology | 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 | 2008-12-01 |
| 1487097754 | Kevin Tran Chu | Anesthesiology | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2013-04-16 |
| 1639478803 | Christina Hyelim Lee | Anesthesiology | 4650 W Sunset Blvd, Ms#3, Los Angeles, CA 90027-6062 | 2011-03-27 |
| 1306073408 | Christian Walker | Anesthesiology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2009-06-16 |
| 1932341690 | Sang Ngoc Le | Anesthesiology | 4650 W Sunset Blvd # 3, Children's Hospital Los Angeles, Los Angeles, CA 90027-6062 | 2009-03-27 |
| 1821257395 | Jammie T Ferrara | Anesthesiology | 4650 Sunset Blvd Ms#3, Los Angeles, CA 90027 | 2008-06-09 |
| 1063688851 | Robinder G Khemani | Anesthesiology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2008-05-01 |
| 1376741918 | Children's Hospital Los Angeles Medical Group, Inc. | Anesthesiology | 4650 W Sunset Blvd, Ms#3, Los Angeles, CA 90027 | 2007-07-05 |
| 1972705655 | Debra Hiorns Gambrell | Anesthesiology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-06-04 |
| 1447465216 | Stacey Swift | Anesthesiology | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | 2007-05-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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| 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.