Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN JOSEPH PANGALLO, SUDRC
Active Sole ProprietorMR. JOHN JOSEPH PANGALLO, SUDRC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KINGS BEACH, California. NPI 1568653905 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KINGS BEACH, CA
Registration Details
- NPI Number
- 1568653905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2007 (19.001404359506 yrs)
- Last Updated
- Sep 18, 2019
- License
-
9579 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8491 NORTH LAKE BLVDKINGS BEACH, CA, 96143Browse CA providers · Browse ZIP 96143
- Phone
- 5305465641
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in KINGS BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD JAMES BROWN | CCDS, CADCII | 1528208725 |
| SUSAN SMITH | — | 1588115067 |
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.