Provider Demographics
NPI:1902086366
Name:BANGOY, MARIA ANNALAINE GREGORIO (RRT)
Entity Type:Individual
Prefix:MS
First Name:MARIA ANNALAINE
Middle Name:GREGORIO
Last Name:BANGOY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MS
Other - First Name:ANNALAINE
Other - Middle Name:
Other - Last Name:BANGOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2021 N MILPITAS BLVD APT 317
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-2572
Mailing Address - Country:US
Mailing Address - Phone:408-719-1930
Mailing Address - Fax:
Practice Address - Street 1:225 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1603
Practice Address - Country:US
Practice Address - Phone:408-259-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000266412279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care