Most Relevant Information
Provider Data
| NPI Number: | 1003033754 |
| Provider Name: | GLORY CABANILLA TANCINCO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207LP3000X |
| Specialty: | Anesthesiology |
| License Number: | C50519 |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 10/17/2019 |
Provider Practice Location
6245 DE LONGPRE AVE
LOS ANGELES
CA
900288253
Practice Location Phone/Fax
| Phone: | 2346222713 |
| Fax: |
Provider Mailing Location
PO BOX 60790
PASADENA
CA
911166790
Provider Mailing Phone/Fax
| Phone: | |
| Fax: | 2134130327 |