NPI 1003512971

Glenn Patrick Tajalle

Practitioner Other Specialist/Technologist Corona, CA

Practice location

Address: 161 Exeter Way, Corona, CA 92882-8502
Phone: (714) 675-9089

Registered specialties (2)

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in California →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in California →

Registry record

NPI: 1003512971
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2023
Record last updated: 2 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.