Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN PATRICK TAJALLE
ActiveMR. GLENN PATRICK TAJALLE is a Specialist/Technologist, Surgical healthcare provider located in CORONA, California. NPI 1003512971 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · CORONA, CA
Registration Details
- NPI Number
- 1003512971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2023 (3.5642622554706 yrs)
- Last Updated
- Feb 2, 2023
Practice Information
- Address
-
161 EXETER WAYCORONA, CA, 928828502Browse CA providers · Browse ZIP 92882
- Phone
- 7146759089
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.