Wendell Gloria
Student in an Organized Health Care Education/Training Program in Cerritos, CA. Individual provider (NPI-1).
Details
- NPI
- 1154590776
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wendell Gloria
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2008
- Last updated
- Dec 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
12212 Viarna StCerritos, CA 90703-7728
Phone 562-644-7603
Mailing address
12212 Viarna StCerritos, CA 90703-7728
Phone 562-644-7603
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Student in an Organized Health Care Education/Training Program providers in Cerritos · All 2,293 providers in Cerritos
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