Provider Demographics
NPI:1003969395
Name:RANGEL, CARLOS (D,C,)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:RANGEL
Suffix:
Gender:M
Credentials:D,C,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 NILES ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-4910
Mailing Address - Country:US
Mailing Address - Phone:661-871-6060
Mailing Address - Fax:661-871-8553
Practice Address - Street 1:1818 NILES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-4910
Practice Address - Country:US
Practice Address - Phone:661-871-6060
Practice Address - Fax:661-871-8553
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor