Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN-CLIFFORD DAVID GANGANO, RN, CMT
Active Sole ProprietorGLENN-CLIFFORD DAVID GANGANO, RN, CMT is a 163WM1400X healthcare provider located in SAN FRANCISCO, California. NPI 1154136893 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1154136893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2025 (1.549794042597 yrs)
- Last Updated
- Feb 10, 2025
- Licenses
-
84076 (CA)751715 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 BUSH ST STE 303SAN FRANCISCO, CA, 941095272Browse CA providers · Browse ZIP 94109
- Phone
- 4159967979
- Fax
- 4158875411
- Primary Specialty
-
163WM1400X
163WM1400X
- Additional Specialty
- 163WM1400X
Other 163WM1400X Providers in SAN FRANCISCO, CA
| Name | Credential | NPI |
|---|---|---|
| ACACIA HERNDON | RN | 1255299665 |
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.