Search › California › 106H00000X
Allegra Lange
NPI 1194072769 · on the registry since 2012 · sole proprietor
Practice
- Address
- 600 N Arrowhead Ave
San Bernardino, CA 92401 - Phone
- (909) 522-4656
- Fax
- (909) 763-5525
- Organisation at this address
- Victor Community Support Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 145
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California