Mr. Glenn Patrick Tajalle
Mr. Glenn Patrick Tajalle is an Other Specialist/Technologist in Corona, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
161 Exeter WayCorona, CA 92882-8502
Phone: (714) 675-9089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1003512971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 2, 2023 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
| Mailing address | 161 Exeter Way, Corona, CA 92882-8502 |