Glory Cabanilla Tancinco,M.D. Inc.

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

C505190 Issued in CA

Legal business name

GLORY CABANILLA TANCINCO,M.D. INC.

Doing business as

Glory Cabanilla Tancinco,M.D.Inc.

Practice address

2105 Beverly Blvd
Suite #111
Los Angeles, CA 90057-2216

Phone

(213) 413-2280

Fax

(213) 413-0327

NPI assigned

May 6, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glory Cabanilla Tancinco, M.D.

Title

Physician

Phone

(213) 413-2280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLORY CABANILLA TANCINCO,M.D.INC. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1922274257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE #111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-2280",
            "fax_number": "213-413-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE #111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-2280",
            "fax_number": "213-413-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY CABANILLA TANCINCO,M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TANCINCO",
        "authorized_official_first_name": "GLORY",
        "authorized_official_middle_name": "CABANILLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-413-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "C505190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C505190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLORY CABANILLA TANCINCO,M.D.INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel M Gloer, LCSW
• Matthew Brian Thomas Gloin, D.C.
• Prisca Gloor Maung, PH.D.
• Samantha Joy Lutz Gloria
• Gloriana C. Villago D. D. S., Inc.
• Glory Health Clinic, Inc.
• Glory Home Health, Inc.
• Glory Medical Supplies
• Colette Ann Glosman, MA, LMFT
• Jacqueline Glosman

• Pediatric Anesthesiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.