Mr Glenn Patrick Tajalle, is a
Specialist/technologist, Other based in Corona, California. Mr Glenn Patrick Tajalle is licensed to practice in California (license number ) and his current practice location is
161 Exeter Way, Corona, California. He can be reached at his office (for appointments etc.) via phone at
(714) 675-9089.
NPI number for Mr Glenn Patrick Tajalle is 1003512971 and his current mailing address is 161 Exeter Way, Corona, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003512971.
Healthcare Provider's Profile
| Full Name | Mr Glenn Patrick Tajalle |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist, Other |
|---|
| Location | 161 Exeter Way, Corona, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003512971
- Provider Enumeration Date: 02/02/2023
- Last Update Date: 02/02/2023
Medical Identifiers
Medical identifiers for Mr Glenn Patrick Tajalle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003512971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 246Z00000X | Specialist/technologist, Other | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glenn Patrick Tajalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Glenn Patrick Tajalle, 161 Exeter Way, Corona, CA 92882-8502 Ph: (714) 675-9089 | Mr Glenn Patrick Tajalle, 161 Exeter Way, Corona, CA 92882-8502 Ph: (714) 675-9089 |
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