Mr Agustin Rangel Jr, is a
Counselor - Mental Health based in Venice, California. Mr Agustin Rangel Jr is licensed to practice in California (license number ASW68759) and his current practice location is
204 Hampton Dr, Venice, California. He can be reached at his office (for appointments etc.) via phone at
(310) 396-6468.
NPI number for Mr Agustin Rangel Jr is 1598110645 and his current mailing address is 9240 Elm Vista Dr Apt A6, Downey, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598110645.
Healthcare Provider's Profile
| Full Name | Mr Agustin Rangel Jr |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 204 Hampton Dr, Venice, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598110645
- Provider Enumeration Date: 04/26/2016
- Last Update Date: 01/02/2019
Medical Identifiers
Medical identifiers for Mr Agustin Rangel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598110645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | ASW68759 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW68759 (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 Agustin Rangel Jr 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 Agustin Rangel Jr,
9240 Elm Vista Dr Apt A6,
Downey, CA 90242-5320
Ph: (323) 490-5546 | Mr Agustin Rangel Jr,
204 Hampton Dr,
Venice, CA 90291
Ph: (310) 396-6468 |
Reviews and Comments