Provider Demographics
NPI:1962667444
Name:RANGEL, DEISY F
Entity Type:Individual
Prefix:MS
First Name:DEISY
Middle Name:F
Last Name:RANGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 IMPERIAL HWY
Mailing Address - Street 2:STE. 400
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3179
Mailing Address - Country:US
Mailing Address - Phone:714-724-2125
Mailing Address - Fax:562-807-6101
Practice Address - Street 1:12501 IMPERIAL HWY
Practice Address - Street 2:STE. 400
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3179
Practice Address - Country:US
Practice Address - Phone:714-724-2125
Practice Address - Fax:562-807-6101
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS598891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical